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Organization
DARE BEHAVIORAL HEALTH AND WELLNESS CLINIC PLLC
Active
Organization
DARE BEHAVIORAL HEALTH AND WELLNESS CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMMANUEL OLUWADARE (OWNER)
(480) 501-0511
Entity
Organization
Contact information
Practice address
5235 E SOUTHERN AVE STE 106-145, MESA, AZ 85206-3626
(480) 501-0511
Mailing address
5235 E SOUTHERN AVE STE 106-145, MESA, AZ 85206-3626
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
07/01/2025
Last updated
07/01/2025
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