| NPI | 1982942553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APRIL ELISE LAIN Counselor Co Owner 623-210-5951 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-10557) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ LISAC10221) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ LISAC1250) | |
| Enumeration Date | 2013-01-16 |
| Last Update Date | 2013-01-16 |