| NPI | 1750381448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN HERLAND Administrator 623-398-0562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ BH2618) |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2020-08-22 |