NPI 1114581386 · live from the CMS NPI Registry
Abra Health LLC
Day Training, Developmentally Disabled Services in Glendale, AZ. National Provider Identifier 1114581386, active.
NPI record
| NPI | 1114581386 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Day Training, Developmentally Disabled Services 251C00000X |
| Practice location | 8636 N 59th Ave, Glendale, AZ 85302 |
| Practice phone | 602-518-0214 |
| Mailing address | 7214 W Reade Ave, Glendale, AZ 85303 |
| Enumerated | April 23, 2019 |
| Last updated | August 14, 2020 |
| Authorized official | Da'Mond Gadson, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | — |
| Counselor, Mental Health | 101YM0800X | — |
| Case Management | 251B00000X | — |
| Home Health | 251E00000X | — |
| Public Health or Welfare | 251K00000X | — |
| In Home Supportive Care | 253Z00000X | — |
| Clinic/Center, Adult Day Care | 261QA0600X | — |
| Clinic/Center, Community Health | 261QC1500X | — |
| Clinic/Center, Developmental Disabilities | 261QD1600X | — |
| Clinic/Center, Mental Health (Including Community Mental Health Center) | 261QM0801X | — |
| Clinic/Center, Adult Mental Health | 261QM0850X | — |
| Clinic/Center, Adolescent and Children Mental Health | 261QM0855X | — |
| Clinic/Center, Primary Care | 261QP2300X | — |
| Clinic/Center, Rehabilitation, Substance Use Disorder | 261QR0405X | — |
| Day Training, Developmentally Disabled Services primary | 251C00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.