| NPI | 1578330114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN CHRISTOPHER RYAN Managing Director 520-373-2457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2023-12-05 |
| Last Update Date | 2023-12-05 |