Organization
ICARE TOTAL HEALTH SERVICES, INC
Active
Parent organization
ICARE TOTAL HEALTH SERVICES, INC
Other names
MINDFIT 360
Organization subpart
Yes
Provider details
NPI number
Legal business name
ICARE TOTAL HEALTH SERVICES, INC
Authorized official
MR. R JUSTICE BRAIMAH PHD (PRESIDENT)
(402) 515-4874
Entity
Organization
Contact information
Practice address
14050 N 83RD AVE STE 290, PEORIA, AZ 85381-5650
(402) 515-4874
Mailing address
14050 N 83RD AVE STE 290, PEORIA, AZ 85381-5650
(402) 515-4874
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
04/27/2021
Last updated
08/02/2024
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