Organization
MAOLI OLA INTEGRATED CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DYANNA LEOLANI AH QUIN DBH (CEO)
(480) 356-3271
Entity
Organization
Contact information
Practice address
11148 E VICTORIA ST, CHANDLER, AZ 85248-7811
(480) 356-3271
Mailing address
11148 E VICTORIA ST, CHANDLER, AZ 85248-7811
(480) 356-3271
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
03/30/2023
Last updated
04/15/2023
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