NPI | 1740819085 |
---|---|
Doing Business As | KALEIDOSCOPE HOMES |
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 |