Organization
EMPIRE HEALTH AND THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LELOOLE BARIKA (ADMIN)
(480) 635-6712
Entity
Organization
Contact information
Practice address
1730 W LACEWOOD PL, PHOENIX, AZ 85045-0528
(480) 635-6712
Mailing address
4150 S SANTA RITA WAY, CHANDLER, AZ 85249-5184
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
08/17/2020
Last updated
08/17/2020
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