Organization
IDEAL TREATMENT CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AIMEE UWIMANA DNP (NURSE PRACTITIONER)
(602) 399-0134
Entity
Organization
Contact information
Practice address
1717 W NORTHERN AVE STE 107, PHOENIX, AZ 85021-5400
(602) 612-2305
Mailing address
1717 W NORTHERN AVE STE 107, PHOENIX, AZ 85021-5400
(602) 612-2305
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
251B00000X
Case Management Agency
—
—
261Q00000X
Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
04/25/2023
Last updated
06/04/2025
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