| NPI | 1548087331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAHEEM JAHMEL WATSON Owner/Pss 480-881-4555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Additional Taxonomies | 174200000X Meals |
| 251B00000X Case Management | |
| 251S00000X Community/Behavioral Health | |
| 261Q00000X Clinic/Center | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
| 261QR0800X Clinic/Center Recovery Care | |
| 275N00000X Medicare Defined Swing Bed Unit | |
| 310400000X Assisted Living Facility | |
| 3104A0625X Assisted Living Facility Assisted Living, Mental Illness | |
| 3104A0630X Assisted Living Facility Assisted Living, Behavioral Disturbances | |
| 310500000X Intermediate Care Facility, Mental Illness | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2024-09-23 |
| Last Update Date | 2024-09-23 |