# IKAZE BEHAVIORAL CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588447486
- **Authorized official:** MS. SAFIA SANDRA UWERA (ADMINISTRATOR)
- **Authorized official phone:** (650) 420-9888

## Contact information

- **Practice address:** 350 E DUNLAP AVE, PHOENIX, AZ 85020-2914
- **Practice address phone:** (650) 420-9888
- **Mailing address:** 350 E DUNLAP AVE, PHOENIX, AZ 85020-2914
- **Mailing address phone:** (650) 420-9888

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 261QH0100X | Health Service Clinic/Center | — | NULL | — |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |
| 261QR0405X | Substance Use Disorder Rehabilitation Clinic/Center | — | NULL | — |
| 261QS1000X | Student Health Clinic/Center | — | NULL | — |
| 385HR2055X | Child Mental Illness Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 08/15/2023
- **Last updated:** 08/17/2023