Organization
RAINBOW BEHAVIORAL HEALTHWATCH PLLC
Active
Other names
RAINBOW BEHAVIORAL HEALTHWATCH PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
EDITH TAKERE NP (CEO/OWNER)
(617) 316-6776
Entity
Organization
Contact information
Practice address
1846 E INNOVATION PARK DR STE 100, ORO VALLEY, AZ 85755-1963
(617) 316-6776
Mailing address
500 POPLAR VISTA LN, ARLINGTON, TX 76002-4783
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/17/2024
Last updated
09/17/2024
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