| NPI | 1508410903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN CHRISTOPHER Owner 602-446-2895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X Community/Behavioral Health | |
| 261Q00000X Clinic/Center | |
| 261QH0100X Clinic/Center Health Service | |
| 276400000X Rehabilitation, Substance Use Disorder Unit | |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2019-07-25 |