| NPI | 1235967332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONETTE JACKSON Employee 602-418-9185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 104100000X Social Worker |
| 343800000X Secured Medical Transport (VAN) | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2024-07-22 |
| Last Update Date | 2024-07-22 |