| NPI | 1689460198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASMINE ROBINSON Admin 602-322-7031 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2025-04-19 |
| Last Update Date | 2025-04-19 |