# CANA PSYCHIATRIC HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CANA PSYCHIATRIC HEALTH
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447851696
- **Authorized official:** MS. LOLADE OGUNLEYE NP (MANAGER)
- **Authorized official phone:** (919) 415-1212

## Contact information

- **Practice address:** 16165 N 83RD AVE STE 200, PEORIA, AZ 85382-5816
- **Practice address phone:** (919) 415-1212
- **Practice address fax:** (919) 415-1216
- **Mailing address:** 16165 N 83RD AVE STE 200, PEORIA, AZ 85382-5816
- **Mailing address phone:** (919) 307-2114

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 11/04/2020
- **Last updated:** 01/26/2021