Organization
IOB WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC NBIZI (OWNER)
(623) 777-0082
Entity
Organization
Contact information
Practice address
5060 N 19TH AVE # 406-9, PHOENIX, AZ 85015-3210
(623) 777-0082
Mailing address
11114 W COLLEGE DR, PHOENIX, AZ 85037-1269
(623) 777-0082
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
09/11/2020
Last updated
06/07/2021
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