Organization
ONE CARE ARIZONA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATUTU MAKELE NYABANGE (OWNER)
(240) 506-9577
Entity
Organization
Contact information
Practice address
4425 W OLIVE AVE STE 167, GLENDALE, AZ 85302-3845
(240) 506-9577
Mailing address
976 W ANGUS RD, SAN TAN VALLEY, AZ 85143-5105
(240) 506-9577
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/28/2023
Last updated
03/28/2023
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