| NPI | 1417428046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI B CRUZ House Manager 480-508-1447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2018-12-07 |
| Last Update Date | 2018-12-07 |