| NPI | 1437949955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY WAYNE MCCANN Owner/Operator 602-476-4458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2025-05-08 |
| Last Update Date | 2025-05-08 |