| NPI | 1114742566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANTE MARIE MCLENDON CEO 623-666-3673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X | |
| 253Z00000X In Home Supportive Care | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2024-11-20 |
| Last Update Date | 2024-11-20 |