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 |