| NPI | 1043971732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUKE ANTHONY MERIDETH Executive Director 623-396-2454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 174200000X Meals |
| 251V00000X Voluntary or Charitable | |
| 276400000X Rehabilitation, Substance Use Disorder Unit | |
| 305S00000X Point of Service | |
| Enumeration Date | 2022-01-04 |
| Last Update Date | 2022-01-04 |