Organization
WELINK GROUP LLC
Active
Other names
OASIS HOME BEHAVIORAL HEALTH
Organization subpart
No
Provider details
NPI number
Authorized official
HODAL BIZIMUNGU (ADMINISTRATOR)
(773) 892-5454
Entity
Organization
Contact information
Practice address
1612 W CARMEN ST, PHOENIX, AZ 85041-3778
(773) 892-5454
Mailing address
1612 W CARMEN ST, PHOENIX, AZ 85041-3778
(773) 892-5454
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
BH7777
—
AZ
Enumeration date
07/20/2022
Last updated
07/20/2022
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