| NPI | 1679206122 |
|---|---|
| Doing Business As | CBI - ENCOMPASS PAGE LIBERTY HOUSE OUTPATIENT |
| Entity Type | Organization |
| Authorized Contact | JOHN HOGEBOOM President/CEO 480-831-7566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 251B00000X Case Management |
| 261QH0100X Clinic/Center, Health Services | |
| Enumeration Date | 2022-07-01 |
| Last Update Date | 2023-04-12 |