| NPI | 1922790815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHAD ALI ABDULKADIR Administrator Owner 480-651-5315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 251S00000X Community/Behavioral Health | |
| 101YM0800X Counselor, Mental Health | |
| 251B00000X Case Management | |
| Enumeration Date | 2023-05-22 |
| Last Update Date | 2025-09-15 |