| NPI | 1780374348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTA ABDALLAH CEO 602-460-1449 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 101Y00000X Counselor |
| 103T00000X Psychologist | |
| 323P00000X Psychiatric Residential Treatment Facility | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2023-05-08 |
| Last Update Date | 2023-05-08 |