| NPI | 1700697976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TLAHJONTE HOPSON Board Chairman 602-799-2757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 101YM0800X Counselor, Mental Health | |
| 253Z00000X In Home Supportive Care | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 251S00000X Community/Behavioral Health | |
| 208100000X Physical Medicine & Rehabilitation | |
| 208D00000X General Practice | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 261QP2300X Clinic/Center, Primary Care | |
| 101YP2500X Counselor, Professional | |
| 261QC1500X Clinic/Center, Community Health | |
| Enumeration Date | 2025-01-16 |
| Last Update Date | 2026-01-06 |