| NPI | 1700593373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMMAR ALSOUBAII Owner 602-628-3211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X | |
| Enumeration Date | 2022-11-02 |
| Last Update Date | 2022-11-02 |