| NPI | 1760181010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDE MAHORO Manager 480-616-5994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 251B00000X Case Management | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 310400000X Assisted Living Facility | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2023-02-27 |
| Last Update Date | 2023-02-27 |