| NPI | 1447922448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON BORUM President/CEO 602-475-8702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2021-09-29 |
| Last Update Date | 2021-09-29 |