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Organization
THE OLIVE FOUNDATION LLC
Active
Organization
THE OLIVE FOUNDATION LLC
Active
Other names
Empowerment Home Behavioral Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES OGU (OWNER)
(602) 612-2231
Entity
Organization
Contact information
Practice address
820 S BRIDGER DR, CHANDLER, AZ 85225-6490
(602) 612-2231
(602) 429-8462
Mailing address
6638 S 6TH AVE, PHOENIX, AZ 85041-5764
(602) 612-2231
(602) 429-8462
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
05/14/2022
Last updated
05/14/2022
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