Organization
IDEAL TREATMENT CENTER LLC
Active
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
Primary
—
—
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
06/19/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up