| NPI | 1891490876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMETU ONUM A Phd 480-200-7688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251V00000X Voluntary or Charitable |
| 261QC1500X Clinic/Center, Community Health | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QR0800X Clinic/Center, Recovery Care | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QP2300X Clinic/Center, Primary Care | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 174200000X Meals | |
| 177F00000X Lodging | |
| 251B00000X Case Management | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| Enumeration Date | 2023-03-31 |
| Last Update Date | 2023-07-20 |