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 |