Organization
DARE BEHAVIORAL HEALTH AND WELLNESS CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMMANUEL OLUWADARE (OWNER)
(480) 501-0511
Entity
Organization
Contact information
Practice address
5235 E SOUTHERN AVE STE 106-145, MESA, AZ 85206-3626
(480) 501-0511
Mailing address
5235 E SOUTHERN AVE STE 106-145, MESA, AZ 85206-3626
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/01/2025
Last updated
07/01/2025
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