Organization
OPTIMAL BEHAVIORAL HEALTH SERVICES
Active
Organization
OPTIMAL BEHAVIORAL HEALTH SERVICES
Active
Other names
Optimal Behavioral Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TARIK AYINDE SANFORD BRAGG (OWNER)
(702) 461-2780
Entity
Organization
Contact information
Practice address
2 N CENTRAL AVE FL 1819, PHOENIX, AZ 85004-2322
(702) 461-2780
Mailing address
2 N CENTRAL AVE FL 1819, PHOENIX, AZ 85004-2322
(702) 461-2780
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/17/2023
Last updated
01/17/2023
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