NPI | 1558132704 |
---|---|
Doing Business As | NORTHSIGHT RECOVERY- MESA |
Entity Type | Organization |
Authorized Contact | JEREMY VINCENT BLOOM President/CEO 480-544-0283 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 251B00000X Case Management |
261QH0100X Clinic/Center, Health Services | |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
261QM0850X Clinic/Center, Adult Mental Health | |
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
291U00000X Clinical Medical Laboratory | |
343900000X Non-emergency Medical Transport (VAN) | |
Enumeration Date | 2024-01-15 |
Last Update Date | 2024-07-29 |