| NPI | 1609004167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEELY TORRES Quality Improvement 602-248-8886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ BH-2862) |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2009-06-23 |