| NPI | 1841961349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELIA CONSENTINO Director 623-256-0021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2021-09-23 |
| Last Update Date | 2021-09-23 |