| NPI | 1811764319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN FLORES Owner 602-695-5019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| 171M00000X Case Manager/Care Coordinator | |
| 175T00000X Peer Specialist | |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2023-12-05 |
| Last Update Date | 2023-12-05 |