| NPI | 1730301953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE WIELAND President 480-430-0169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |