| NPI | 1174154736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA DAWN SIMKINS-ARIS Director/Owner 602-237-5575 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251300000X Local Education Agency (LEA) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 251B00000X Case Management | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251S00000X Community/Behavioral Health | |
| 261QD1600X Clinic/Center Developmental Disabilities | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| 310500000X Intermediate Care Facility, Mental Illness | |
| 315P00000X Intermediate Care Facility, Mentally Retarded | |
| 385H00000X Respite Care | |
| 385HR2050X Respite Care Respite Care Camp | |
| 385HR2055X Respite Care Respite Care, Mental Illness, Child | |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| Enumeration Date | 2020-01-31 |
| Last Update Date | 2021-08-24 |