NPI | 1831993690 |
---|---|
Entity Type | Organization |
Authorized Contact | LIKAA H KAMBAR Owner 602-361-1050 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 251B00000X Case Management |
324500000X Substance Abuse Rehabilitation Facility | |
Enumeration Date | 2025-04-02 |
Last Update Date | 2025-07-25 |