Organization
FACING THE FUTURE WITH HOPE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMARA BLACKMAN PH D (CEO/DIRECTOR)
(602) 795-5722
Entity
Organization
Contact information
Practice address
5656 N 17TH AVE #C7, PHOENIX, AZ 85015
(602) 795-5722
Mailing address
5656 N 17TH AVE #C7, PHOENIX, AZ 85015
(602) 795-5722
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
—
—
102X00000X
Poetry Therapist
—
—
103K00000X
Behavior Analyst
—
—
171100000X
Acupuncturist
—
—
171M00000X
Case Manager/Care Coordinator
—
—
171W00000X
Contractor
Primary
—
—
172V00000X
Community Health Worker
—
—
2084P0802X
Addiction Psychiatry Physician
—
—
261Q00000X
Clinic/Center
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QR1100X
Research Clinic/Center
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
10/31/2012
Last updated
10/31/2012
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