| NPI | 1417639949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL FERNANDEZ Member 602-314-4745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251B00000X Case Management |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2023-08-03 |
| Last Update Date | 2024-06-06 |