| NPI | 1932073269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL BIRUME Office Manager 602-600-8778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2025-09-30 |
| Last Update Date | 2025-09-30 |