Organization
RECTIVA INTEGRATED HEALTHCARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LELOOLE BARIKA (CEO)
(623) 920-9505
Entity
Organization
Contact information
Practice address
3101 N CENTRAL AVE STE 183, PHOENIX, AZ 85012-3616
(623) 920-9505
Mailing address
3101 N CENTRAL AVE STE 183, PHOENIX, AZ 85012-3616
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/19/2024
Last updated
02/19/2024
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