Organization
LOVE BEHAVIOURAL SERVICES
Active
Parent organization
LOVE BEHAVIDURAL SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
LOVE BEHAVIDURAL SERVICES
Authorized official
MRS. OLUFEMI OMODARA RPH (OWNER)
(623) 521-5935
Entity
Organization
Contact information
Practice address
7715 S. 23RD LANE, PHOENIX, AZ 85041
(623) 521-5935
(602) 441-4838
Mailing address
P.O. BOX 5693, GOODYEAR, AZ 85338
(623) 521-5935
(602) 441-4838
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/25/2022
Last updated
03/25/2022
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