| NPI | 1689553653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOLETHA ECKFORD Director 602-935-5997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2025-09-02 |
| Last Update Date | 2025-09-02 |