Organization
OPTIMUS BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FLORA ISSANDA STOWATER PSYCH NP (ADMINISTRATOR)
(480) 840-4777
Entity
Organization
Contact information
Practice address
4600 E WASHINGTON ST, PHOENIX, AZ 85034-1903
(480) 840-4777
Mailing address
4600 E WASHINGTON ST STE 300, PHOENIX, AZ 85034-1908
(480) 840-4777
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/25/2021
Last updated
12/06/2022
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