| NPI | 1811497670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN A. SMITH Chief Program Officer 602-419-8194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2018-02-19 |
| Last Update Date | 2023-10-17 |