| NPI | 1265131817 |
|---|---|
| Former Legal Business Name | SHALOM HERITAGE BEHAVIORAL HEALTH SERVICES |
| Entity Type | Organization |
| Authorized Contact | ADENIKE OPEJIN Managing Partner 480-845-9165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Enumeration Date | 2023-03-02 |
| Last Update Date | 2023-03-02 |