| NPI | 1205627387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARRELL WOODS Director 602-456-1414 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 103T00000X Psychologist |
| 251S00000X Community/Behavioral Health | |
| 1041C0700X Social Worker Clinical | |
| 261QC1500X Clinic/Center Community Health | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 261Q00000X Clinic/Center | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 251B00000X Case Management | |
| 261QH0100X Clinic/Center Health Service | |
| 261QR0401X Clinic/Center Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | |
| 101YM0800X Counselor Mental Health | |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2025-05-16 |
| Last Update Date | 2025-09-04 |