| NPI | 1962124503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT MCNEAL Co /Owner 602-718-8809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2022-09-12 |
| Last Update Date | 2022-09-12 |