Organization
HOMEBASE ARCADIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLAJUMOKE IJABADENUYI (CEO)
(323) 671-6789
Entity
Organization
Contact information
Practice address
1839 N 39TH ST, PHOENIX, AZ 85008-3915
(480) 440-4916
Mailing address
1839 N 39TH ST, PHOENIX, AZ 85008-3915
(480) 440-4916
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
05/13/2022
Last updated
09/26/2023
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