Organization
THE OLIVE FOUNDATION LLC
Active
Other names
Empowerment Home Behavioral Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES OGU (OWNER)
(602) 612-2231
Entity
Organization
Contact information
Practice address
820 S BRIDGER DR, CHANDLER, AZ 85225-6490
(602) 612-2231
(602) 429-8462
Mailing address
6638 S 6TH AVE, PHOENIX, AZ 85041-5764
(602) 612-2231
(602) 429-8462
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/14/2022
Last updated
05/14/2022
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