Organization
UNIQUE INTERVENTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN MARIE SANDOVAL (DIRECTOR)
(928) 699-4203
Entity
Organization
Contact information
Practice address
2106 W 8TH AVE, MESA, AZ 85202-2827
(928) 699-4203
Mailing address
2106 W 8TH AVE, MESA, AZ 85202-2827
(928) 699-4203
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
174H00000X
Health Educator
—
—
175L00000X
Homeopath
—
—
175T00000X
Peer Specialist
—
—
251300000X
Local Education Agency (LEA)
—
—
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
253J00000X
Foster Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
261QR1100X
Research Clinic/Center
—
—
305S00000X
Point of Service
—
—
Other
Enumeration date
02/29/2016
Last updated
02/29/2016
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