| NPI | 1083593511 |
|---|---|
| Doing Business As | SMI SUPPORTIVE HOUSING - COCONINO |
| Entity Type | Organization |
| Authorized Contact | JOHN HOGEBOOM CEO 480-831-7566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-08-28 |
| Last Update Date | 2025-08-28 |