| NPI | 1912693243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT BLANCHARD Owner 602-791-2316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| 385H00000X Respite Care | |
| 103TC0700X Psychologist, Clinical | |
| 1041C0700X Social Worker, Clinical | |
| 106S00000X Behavior Technician | |
| 163WP0808X Registered Nurse, Psych/Mental Health | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2023-04-11 |
| Last Update Date | 2024-01-04 |