| NPI | 1629649132 |
|---|---|
| Doing Business As | SRC CAVE CREEK |
| Entity Type | Organization |
| Authorized Contact | JOSEPH LANDIN Administrator 480-309-9945 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101Y00000X Counselor |
| 104100000X Social Worker | |
| 106S00000X Behavior Technician | |
| 174200000X | |
| 251B00000X Case Management | |
| 253Z00000X In Home Supportive Care | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2021-07-06 |
| Last Update Date | 2023-02-13 |