| NPI | 1154142032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA AKWI YUNGA Manager 480-604-1042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2024-10-23 |
| Last Update Date | 2024-10-23 |