Organization
BROOK OF CHERITH PSYCH CONSULT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BAMIDELE ODEDE (CEO)
(447) 527-8326
Entity
Organization
Contact information
Practice address
4111 E VALLEY AUTO DR STE 201, MESA, AZ 85206-4609
(602) 842-3600
Mailing address
21412 S 230TH ST, QUEEN CREEK, AZ 85142-0823
(443) 527-8326
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/10/2023
Last updated
07/08/2023
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