| NPI | 1629934872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER EDWARD GIFFORD Operations Manager 602-816-9421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2025-12-31 |
| Last Update Date | 2026-01-20 |