| NPI | 1982119855 |
|---|---|
| Other Name | SMI SUPPORTIVE HOUSING TEAM |
| Entity Type | Organization |
| Authorized Contact | JOHN HOGEBOOM Deputy CEO 480-831-7566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: AZ OTC5972) |
| Additional Taxonomies | 251B00000X Case Management (Licence: AZ OTC5972) |
| Enumeration Date | 2017-12-13 |
| Last Update Date | 2017-12-13 |