| NPI | 1942784285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TLAHJONTE HOPSON Adminstrator 602-799-2757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 103K00000X Behavior Analyst | |
| 106E00000X Assistant Behavior Analyst | |
| 106S00000X Behavior Technician | |
| 163W00000X Registered Nurse | |
| 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) | |
| 171M00000X Case Manager/Care Coordinator | |
| 172V00000X Community Health Worker | |
| 207Q00000X Family Medicine | |
| 251S00000X | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2018-09-22 |
| Last Update Date | 2024-06-05 |