| NPI | 1922799113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATOYA R SIBLEY Clinical Operations Director 602-826-5636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 251B00000X Case Management | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2023-05-17 |
| Last Update Date | 2023-05-17 |