Organization
REFORMED MIND HEALTH AND TREATMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MODUPE R ADEDOJA (OWNER)
(480) 901-1202
Entity
Organization
Contact information
Practice address
12725 W INDIAN SCHOOL RD STE E101, AVONDALE, AZ 85392-9525
(480) 901-1202
Mailing address
500 N ESTRELLA PKWY STE B2, PMB 439, GOODYEAR, AZ 85338-4136
(480) 901-1202
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/03/2026
Last updated
02/03/2026
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