NPI | 1477212306 |
---|---|
Entity Type | Organization |
Authorized Contact | JEREMY BLOOM Member/CEO 480-544-0283 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X |
Additional Taxonomies | 251B00000X Case Management |
251S00000X Community/Behavioral Health | |
261QH0100X Clinic/Center, Health Services | |
261QM0850X Clinic/Center, Adult Mental Health | |
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
291U00000X Clinical Medical Laboratory | |
343900000X Non-emergency Medical Transport (VAN) | |
Enumeration Date | 2021-12-08 |
Last Update Date | 2023-04-20 |