| NPI | 1679282586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOWHARAH N HALL Interim CEO 480-749-8865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083T0002X Preventive Medicine, Medical Toxicology |
| Additional Taxonomies | 171400000X Health & Wellness Coach |
| 251B00000X Case Management | |
| 261Q00000X Clinic/Center | |
| 261QC1500X Clinic/Center, Community Health | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2022-11-18 |
| Last Update Date | 2024-12-23 |