| NPI | 1366815508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSETTE DANISE SULLINS CEO & Founder 602-566-7627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 252Y00000X Early Intervention Provider Agency | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2019-09-06 |