Olive Branch Behavioral Residencial Network, LLC
Olive Branch Behavioral Residencial Network, LLC is a Behavioral Neurology & Neuropsychiatry Physician in Phoenix, Arizona. Registered with an NPI since 2019.
- In the registry since
- 2019
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2421 E Robert E Lee StPhoenix, AZ 85032-1082
Phone: (602) 569-0806
Fax: (602) 569-0537
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavioral Neurology & Neuropsychiatry Physician (primary) | Taxonomy 2084B0040X |
|---|
Record details
| NPI number | 1215574496 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tracy Ketchum — Cao,Administrator · (708) 277-8673 |
| NPI enumerated | December 5, 2019 |
| Last updated in NPPES | December 5, 2019 |
| Mailing address | 15712 W Eucalyptus Ct, Surprise, AZ 85374-3308 |
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