| NPI | 1699530485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DA'MOND O GADSON President 602-518-0214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor, Professional | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251K00000X Public Health or Welfare | |
| 251S00000X | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2024-02-20 |
| Last Update Date | 2024-02-20 |