| NPI | 1508617051 |
|---|---|
| Former Legal Business Name | ASHU LINEAGE BEHAVIORAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | JOHN ETU MUKOKO Owner/President 480-409-8245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2024-04-01 |
| Last Update Date | 2024-04-01 |