| NPI | 1013565548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARESE LEWIS Managing Member 602-888-1447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 171M00000X Case Manager/Care Coordinator | |
| 207RA0401X Internal Medicine, Addiction Medicine | |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 251B00000X Case Management | |
| 251E00000X Home Health | |
| 251S00000X Community/Behavioral Health | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 372600000X Adult Companion | |
| 376J00000X Homemaker | |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2023-09-19 |