NPI | 1730965906 |
---|---|
Doing Business As | LCBH ST. JOHN'S OP ADOLESCENT PROGRAM |
Entity Type | Organization |
Authorized Contact | JOHN HOGEBOOM President/CEO 480-831-7566 |
Organization Subpart ? | No |
Primary Taxonomy | 251B00000X Case Management |
Enumeration Date | 2023-09-05 |
Last Update Date | 2023-09-05 |