| NPI | 1992793483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYON ROSS SABATINO Clinical Director 480-755-4016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LPC0146) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ LISAC1620) |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2020-08-22 |