| NPI | 1598388639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY MILLER Owner 480-600-0539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 246ZE0600X Specialist/Technologist, Other Electroneurodiagnostic | |
| Enumeration Date | 2020-05-23 |
| Last Update Date | 2020-05-23 |