| NPI | 1033937784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KETURAH MATTOX SHARPE Director/CEO 623-302-4009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 251B00000X Case Management | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251K00000X Public Health or Welfare | |
| 251S00000X Community/Behavioral Health | |
| 253Z00000X In Home Supportive Care | |
| 261QC1500X Clinic/Center Community Health | |
| 261QD1600X Clinic/Center Developmental Disabilities | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| 261QP0905X Clinic/Center Public Health, State or Local | |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
| 3245S0500X Substance Abuse Rehabilitation Facility Substance Abuse Treatment, Children | |
| 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | |
| Enumeration Date | 2024-10-01 |
| Last Update Date | 2024-10-01 |