NPI | 1427745231 |
---|---|
Entity Type | Organization |
Authorized Contact | EMMETT NYANTTE KAMARA Owner 602-330-3127 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 251S00000X |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
Enumeration Date | 2023-04-20 |
Last Update Date | 2025-01-14 |