| NPI | 1225726409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATEKA HAMPTON Owner 602-732-2844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 251S00000X |
| 276400000X Rehabilitation, Substance Use Disorder Unit | |
| Enumeration Date | 2023-04-26 |
| Last Update Date | 2023-04-26 |