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