| NPI | 1912508342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN O'NEAL CEO 480-388-4906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Additional Taxonomies | 172A00000X Driver |
| 251B00000X Case Management | |
| 251S00000X Community/Behavioral Health | |
| 261Q00000X Clinic/Center | |
| 261QR0800X Clinic/Center Recovery Care | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2024-07-24 |