| NPI | 1356813091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN GRAKO Owner 480-299-7442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP2701X Psychologist, Group Psychotherapy |
| Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) |
| Enumeration Date | 2018-12-19 |
| Last Update Date | 2018-12-19 |