| NPI | 1891260113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN DRZEWIECKI CEO 602-334-9904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| 103TC0700X Psychologist, Clinical | |
| Enumeration Date | 2018-10-13 |
| Last Update Date | 2018-10-13 |