The Olive Foundation
Community/Behavioral Health in Phoenix, AZ. Organization (NPI-2).
NPI number1669080644
StatusActive
Last updated in NPPESJul 19, 2020
Details
- NPI
- 1669080644
- Entity type
- Organization (NPI-2)
- Legal business name
- The Olive Foundation
- Organization subpart
- No
- Enumeration date
- Jul 16, 2020
- Certification date
- Jul 19, 2020
- Last updated
- Jul 19, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Other names
- The Olive Foundation (Doing Business As)
Practice location
6638 S 6th AvePhoenix, AZ 85041-5764
Phone 202-640-0238 · Fax 602-429-8462
Mailing address
6638 S 6th AvePhoenix, AZ 85041-5764
Phone 202-640-0238 · Fax 602-429-8462
Authorized official
Charles Ogu
Owner
2026400238
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