| NPI | 1992622781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMISIA JONES Authorized Official 602-895-0272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2026-07-01 |
| Last Update Date | 2026-07-01 |