| NPI | 1619787322 |
|---|---|
| Doing Business As | GOOD FRUIT BEHAVIORAL HEALTH SERVICES |
| Entity Type | Organization |
| Authorized Contact | SHEQUAN L PALMER Owner/Manager 602-518-6484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 101YP1600X Counselor, Pastoral | |
| 101YP2500X Counselor, Professional | |
| 101YS0200X Counselor, School | |
| 106H00000X Marriage & Family Therapist | |
| 251B00000X Case Management | |
| 252Y00000X Early Intervention Provider Agency | |
| 261QC1500X Clinic/Center, Community Health | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QS1000X Clinic/Center, Student Health | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2025-01-14 |
| Last Update Date | 2025-01-14 |