| NPI | 1568536118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENHUI CAI Owner 520-225-0584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: AZ OTC7670) |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: AZ OTC7670) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ OTC7670) | |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: AZ OTC7670) | |
| 207RA0401X Internal Medicine, Addiction Medicine (Licence: AZ OTC7670) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ OTC7670) | |
| 103T00000X Psychologist (Licence: AZ OTC7670) | |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2016-06-06 |