| NPI | 1508730409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA YOLANDA IBARRA Treasurer 480-995-8364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2025-10-02 |
| Last Update Date | 2025-10-02 |