| NPI | 1992999189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRUDY MARIE SONCRANT Owner 602-377-8324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: AZ 4055) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ 1356) |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2009-01-12 |