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Organization
CANA PSYCHIATRIC HEALTH
Active
Organization
CANA PSYCHIATRIC HEALTH
Active
Other names
CANA PSYCHIATRIC HEALTH
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LOLADE OGUNLEYE NP (MANAGER)
(919) 415-1212
Entity
Organization
Contact information
Practice address
16165 N 83RD AVE STE 200, PEORIA, AZ 85382-5816
(919) 415-1212
(919) 415-1216
Mailing address
16165 N 83RD AVE STE 200, PEORIA, AZ 85382-5816
(919) 307-2114
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/04/2020
Last updated
01/26/2021
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