| 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 |