| NPI | 1689180515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARYN ATTIANESE Owner/Clinical Director 623-810-1663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 133V00000X Dietitian, Registered | |
| Enumeration Date | 2017-12-14 |
| Last Update Date | 2018-06-16 |