Organization
ANUDEK BEHAVIORAL HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
UKO BENJAMIN UDOFIA MBA (OWNER)
(480) 330-2767
Entity
Organization
Contact information
Practice address
2111 E PHELPS ROAD, PHOENIX, AZ 85022
(480) 330-2767
(480) 483-0142
Mailing address
1925 E EVERETT DRIVE, PHOENIX, AZ 85022
(480) 330-2767
(480) 483-0142
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1841043718
INDIVIDAUL
—
Enumeration date
07/05/2024
Last updated
07/24/2024
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