| NPI | 1497346837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TLAHJONTE HOPSON CEO, Administrator 602-799-2757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 251B00000X Case Management |
| 101YM0800X Counselor, Mental Health | |
| 323P00000X Psychiatric Residential Treatment Facility | |
| 385H00000X Respite Care | |
| 101Y00000X Counselor | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 251S00000X Community/Behavioral Health | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2021-01-28 |
| Last Update Date | 2026-01-06 |