NPI | 1386382471 |
---|---|
Entity Type | Organization |
Authorized Contact | BIENVENIDO BOLOBAHA CEO 602-703-6476 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 103K00000X Behavior Analyst |
174200000X Meals | |
177F00000X Lodging | |
251E00000X Home Health | |
251J00000X Nursing Care | |
253Z00000X In Home Supportive Care | |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
276400000X Rehabilitation, Substance Use Disorder Unit | |
Enumeration Date | 2022-05-26 |
Last Update Date | 2022-06-01 |