| NPI | 1740819085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RABIYA TROTTER Administrator 480-504-3329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 101Y00000X Counselor |
| 163WG0000X Registered Nurse General Practice | |
| 171M00000X Case Manager/Care Coordinator | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 385H00000X Respite Care | |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2020-04-08 |