| NPI | 1225608656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA BOULAY Owner/CEO/COO 480-356-4370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 174200000X Meals |
| 251B00000X Case Management | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2021-06-28 |
| Last Update Date | 2021-06-28 |