Organization
UPLIFTING CARE LLC
Active
Organization
UPLIFTING CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUGUSTIN NTEZEYOMBI (CEO)
(480) 845-3154
Entity
Organization
Contact information
Practice address
8750 W MYRTLE AVE, GLENDALE, AZ 85305-6929
(602) 410-5246
Mailing address
8750 W MYRTLE AVE, GLENDALE, AZ 85305-6929
(602) 410-5246
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
02/09/2023
Last updated
02/16/2023
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