| NPI | 1841078565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL KANYARUHURU Officer 602-885-7844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2023-09-15 |
| Last Update Date | 2023-09-15 |