| NPI | 1710115928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEELY N TORRES Quality Improvement 602-248-8886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ BH-906) |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2009-06-25 |