| NPI | 1588373856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EBONY WASHINGTON Member 602-975-6711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 174200000X Meals |
| 177F00000X Lodging | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 385H00000X Respite Care | |
| Enumeration Date | 2022-11-16 |
| Last Update Date | 2022-11-16 |