| NPI | 1295581544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRINCE EBOKA CEO 623-255-2542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
| 101Y00000X Counselor | |
| 106S00000X Behavior Technician | |
| 251B00000X Case Management | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2024-04-27 |
| Last Update Date | 2025-06-02 |