NPI | 1891395604 |
---|---|
Entity Type | Organization |
Authorized Contact | TONIA L WILLIAMS CEO/Admiistrator 602-400-8242 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
207R00000X Internal Medicine | |
2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry | |
2084P0802X Psychiatry & Neurology, Addiction Psychiatry | |
251B00000X Case Management | |
251E00000X Home Health | |
251J00000X Nursing Care | |
251S00000X | |
253Z00000X In Home Supportive Care | |
261QC1500X Clinic/Center, Community Health | |
101Y00000X Counselor | |
106S00000X Behavior Technician | |
171M00000X Case Manager/Care Coordinator | |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2020-10-30 |
Last Update Date | 2023-12-08 |