| NPI | 1770704926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD T. NICHOLS CEO 520-836-9788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ LISAC 11603) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2020-08-22 |