# THE OLIVE FOUNDATION LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Empowerment Home Behavioral Health Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598402216
- **Authorized official:** CHARLES OGU (OWNER)
- **Authorized official phone:** (602) 612-2231

## Contact information

- **Practice address:** 820 S BRIDGER DR, CHANDLER, AZ 85225-6490
- **Practice address phone:** (602) 612-2231
- **Practice address fax:** (602) 429-8462
- **Mailing address:** 6638 S 6TH AVE, PHOENIX, AZ 85041-5764
- **Mailing address phone:** (602) 612-2231
- **Mailing address fax:** (602) 429-8462

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 05/14/2022
- **Last updated:** 05/14/2022