| NPI | 1427763614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMMA SERWAA ASHITEY Owner 602-903-5051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 251B00000X Case Management | |
| Enumeration Date | 2023-01-23 |
| Last Update Date | 2023-12-14 |