| NPI | 1326888306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BIBI MOHAMMED CEO 623-434-6567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 251S00000X |
| 261QC1500X Clinic/Center, Community Health | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM2800X Clinic/Center, Methadone Clinic | |
| Enumeration Date | 2024-05-28 |
| Last Update Date | 2024-05-28 |