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Organization

CANA PSYCHIATRIC HEALTH

Active
Other names
CANA PSYCHIATRIC HEALTH
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LOLADE OGUNLEYE NP (MANAGER)
(919) 415-1212
Entity
Organization

Contact information

Practice address
16165 N 83RD AVE STE 200, PEORIA, AZ 85382-5816
(919) 415-1212
(919) 415-1216
Mailing address
16165 N 83RD AVE STE 200, PEORIA, AZ 85382-5816
(919) 307-2114

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
11/04/2020
Last updated
01/26/2021
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