| NPI | 1699379990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA A HOLD Managing Member 480-356-4370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| 174200000X Meals | |
| 251B00000X Case Management | |
| 251S00000X | |
| 252Y00000X Early Intervention Provider Agency | |
| 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | |
| Enumeration Date | 2020-11-26 |
| Last Update Date | 2021-05-03 |