| NPI | 1548044829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAVONNE LOUIS Owner 480-791-8378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2023-08-21 |
| Last Update Date | 2023-08-21 |