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Organization
RESILIENT INTEGRATED TREATMENT CENTER LLC
Active
Organization
RESILIENT INTEGRATED TREATMENT CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IKECHI ALEX IKECHI SR. NP (BHP)
(214) 971-3192
Entity
Organization
Contact information
Practice address
1301 E MCDOWELL RD STE 101, PHOENIX, AZ 85006-2605
(214) 971-3192
Mailing address
1301 E MCDOWELL RD STE 101, PHOENIX, AZ 85006-2605
(214) 971-3192
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
01/06/2023
Last updated
01/06/2023
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