| NPI | 1386902765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN RALLIS BROWN Owner 480-632-1345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103T00000X Psychologist | |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2017-04-06 |