| NPI | 1902594823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOHAIL DAULAT Administrator 623-986-5609 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 251S00000X |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 251B00000X Case Management | |
| 106S00000X Behavior Technician | |
| 101Y00000X Counselor | |
| Enumeration Date | 2023-04-27 |
| Last Update Date | 2023-04-27 |