| NPI | 1447753876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL RAYES Owner 602-599-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-17155) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ LISAC-15078) |
| Enumeration Date | 2018-03-12 |
| Last Update Date | 2024-07-12 |