NPI | 1164946158 |
---|---|
Doing Business As | FACT2 |
Entity Type | Organization |
Authorized Contact | JOHN HOGEBOOM President/CEO 480-831-7566 |
Organization Subpart ? | No |
Primary Taxonomy | 251B00000X Case Management (Licence: AZ OTC7924) |
Additional Taxonomies | 261QH0100X Clinic/Center, Health Services (Licence: AZ OTC7924) |
261QM0850X Clinic/Center, Adult Mental Health (Licence: AZ OTC7924) | |
251S00000X (Licence: AZ OTC7924) | |
276400000X Rehabilitation, Substance Use Disorder Unit (Licence: AZ OTC7924) | |
Enumeration Date | 2017-08-01 |
Last Update Date | 2022-07-14 |