| NPI | 1649268095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELYN ST. GERMAINE Executive Director 520-628-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ BH2413) |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2020-08-22 |