| NPI | 1669164398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE LOUISE NOWOCIN Chief Executive Officer 602-369-3744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2023-05-22 |
| Last Update Date | 2023-05-22 |