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 |