NPI | 1811798705 |
---|---|
Entity Type | Organization |
Authorized Contact | NADIA JANIYA LUKAY Administrator 480-823-0977 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
Enumeration Date | 2025-03-24 |
Last Update Date | 2025-06-19 |