| NPI | 1205600541 |
|---|---|
| Other Name | MBK |
| Entity Type | Organization |
| Authorized Contact | JACQUELINE PERRIE Administrator 480-265-8816 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 101200000X Drama Therapist |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| 101YP1600X Counselor, Pastoral | |
| 101YP2500X Counselor, Professional | |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| 171M00000X Case Manager/Care Coordinator | |
| 172A00000X Driver | |
| 177F00000X Lodging | |
| 251B00000X Case Management | |
| 251S00000X | |
| 252Y00000X Early Intervention Provider Agency | |
| 347C00000X Private Vehicle | |
| 405300000X Prevention Professional | |
| Enumeration Date | 2023-11-07 |
| Last Update Date | 2023-11-20 |