NPI | 1396597753 |
---|---|
Entity Type | Organization |
Authorized Contact | PHALINA MITCHELL Owner 602-502-6238 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Additional Taxonomies | 101Y00000X Counselor |
163W00000X Registered Nurse | |
251B00000X Case Management | |
251K00000X Public Health or Welfare | |
251S00000X | |
261QH0100X Clinic/Center, Health Services | |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
261QM0850X Clinic/Center, Adult Mental Health | |
320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
323P00000X Psychiatric Residential Treatment Facility | |
324500000X Substance Abuse Rehabilitation Facility | |
3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
Enumeration Date | 2024-04-01 |
Last Update Date | 2024-04-02 |