| NPI | 1417658832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY LACERIAL PEARSON CEO 602-690-1643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2023-03-13 |
| Last Update Date | 2023-03-13 |