NPI | 1942073101 |
---|---|
Entity Type | Organization |
Authorized Contact | BRANDI CAUDELL Administrator 602-486-4328 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2023-10-31 |
Last Update Date | 2023-10-31 |