| NPI | 1003525312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UGORJI WILSON ONYEANI President 602-922-6182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 251B00000X Case Management | |
| 261QD0000X Clinic/Center, Dental | |
| 261QE0002X Clinic/Center, Emergency Care | |
| 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | |
| 261QI0500X Clinic/Center, Infusion Therapy | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QM2800X Clinic/Center, Methadone Clinic | |
| 261QP2300X Clinic/Center, Primary Care | |
| 261QU0200X Clinic/Center, Urgent Care | |
| 282N00000X General Acute Care Hospital | |
| 3336C0002X Pharmacy, Clinic Pharmacy | |
| Enumeration Date | 2022-11-16 |
| Last Update Date | 2022-11-16 |