| NPI | 1518648336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA KIMANI Administrator 623-866-2451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-07-25 |
| Last Update Date | 2023-12-19 |