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Organization
TK BEHAVIORAL HEALTH SERVICES LLC
Active
Organization
TK BEHAVIORAL HEALTH SERVICES LLC
Active
Other names
TK Behavioral Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
ERNEST ASHU TAKANG NP (DIRECTOR)
(714) 863-9560
Entity
Organization
Contact information
Practice address
5540 W GLENDALE AVE STE A103, GLENDALE, AZ 85301-2579
(714) 863-9560
Mailing address
5540 W GLENDALE AVE STE A103, GLENDALE, AZ 85301-2579
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/03/2023
Last updated
04/03/2023
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