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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