| NPI | 1073457131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FATMATA TARAWALLY CEO 602-394-9516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2026-04-17 |
| Last Update Date | 2026-04-17 |