NPI | 1710518337 |
---|---|
Doing Business As | AGNES CENTERS FOR DOMESTIC SOLUTIONS |
Entity Type | Organization |
Authorized Contact | MERCEDES BOOKER CEO 602-832-9500 |
Organization Subpart ? | Yes |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
106H00000X Marriage & Family Therapist | |
106S00000X Behavior Technician | |
171M00000X Case Manager/Care Coordinator | |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
Enumeration Date | 2020-02-01 |
Last Update Date | 2020-02-01 |