Organization
OVERCOMING LIFE OBSTACLES, LLC
Active
Other names
Overcoming Life Obstacles
Organization subpart
No
Provider details
NPI number
Authorized official
IVY JONES (CREDENTIALER)
(480) 868-0465
Entity
Organization
Contact information
Practice address
1349 W CORAL REEF DR, GILBERT, AZ 85233-6105
(678) 790-6743
Mailing address
PO BOX 1154, CHANDLER, AZ 85244-1154
(678) 790-6743
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111111
INDEPENDENT MEDICAL FACILITY
—
Enumeration date
04/16/2021
Last updated
04/16/2021
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