| NPI | 1275196149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TLAHJONTE HOPSON Administrator 602-799-2757 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 103K00000X Behavior Analyst | |
| 103TA0400X Psychologist Addiction (Substance Use Disorder) | |
| 104100000X Social Worker | |
| 106S00000X Behavior Technician | |
| 163W00000X Registered Nurse | |
| 163WA0400X Registered Nurse Addiction (Substance Use Disorder) | |
| 171M00000X Case Manager/Care Coordinator | |
| 172A00000X Driver | |
| 251B00000X Case Management | |
| 251S00000X Community/Behavioral Health | |
| 253Z00000X In Home Supportive Care | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2019-04-17 |
| Last Update Date | 2024-06-05 |