| NPI | 1497372908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAROIE DAVIS Owner 602-281-0704 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 253Z00000X In Home Supportive Care | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 101Y00000X Counselor | |
| 104100000X Social Worker | |
| 106S00000X Behavior Technician | |
| 174200000X Meals | |
| 251B00000X Case Management | |
| Enumeration Date | 2020-06-30 |
| Last Update Date | 2023-11-27 |