Organization
DIVINE HOPE IOP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YVONNE BAHATI CNA (CEO)
(480) 501-0957
Entity
Organization
Contact information
Practice address
1917 W GLENDALE AVE STE 8, PHOENIX, AZ 85021-7861
(480) 501-0957
Mailing address
1917 W GLENDALE AVE STE 8, PHOENIX, AZ 85021-7861
(480) 501-0957
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/28/2023
Last updated
08/28/2023
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