Organization
R.E.A.L. CARE OF AZ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN KETCHUM (MANAGER)
(714) 473-0965
Entity
Organization
Contact information
Practice address
1532 W CHARLESTON AVE, PHOENIX, AZ 85023-2507
(480) 597-3870
(480) 687-9460
Mailing address
1532 W CHARLESTON AVE, PHOENIX, AZ 85023-2507
(480) 597-3870
(480) 687-9460
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/26/2025
Last updated
11/07/2025
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