| NPI | 1588351522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAKIA WALKER Principal 602-299-1245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| 251S00000X Community/Behavioral Health | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 101YM0800X Counselor, Mental Health | |
| 251300000X Local Education Agency (LEA) | |
| 261QM2500X Clinic/Center, Medical Specialty | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2023-04-19 |
| Last Update Date | 2025-10-06 |