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 |