Organization
LOVE BEHAVIOURAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLUFEMI OMODARA RPH (OWNER)
(623) 521-5935
Entity
Organization
Contact information
Practice address
14435 W VERDE LN, GOODYEAR, AZ 85395-8335
(623) 521-5935
(623) 264-4288
Mailing address
14435 W VERDE LN, GOODYEAR, AZ 85395-8335
(623) 521-5935
(623) 264-4288
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/27/2015
Last updated
03/27/2015
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