Ideal Treatment Center Llc

LBN: Ideal Treatment Center Llc
Ideal Treatment Center Llc is an health care organization with primary practice located at 1717 W Northern Ave Ste 107 , Phoenix AZ 85021-5400. The organization recently has 10 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Agencies / Case Management, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Multi-Specialty, Ambulatory Health Care Facilities / Primary Care, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Ambulatory Health Care Facilities / Multi-Specialty is the primary health care specialty. Ideal Treatment Center Llc can be contacted via phone (602) 612-2305, or through Uwimana, Aimee via phone (602) 399-0134.

Contact Information

Primary practice address
1717 W Northern Ave Ste 107 Phoenix AZ 85021-5400
Phone: (602) 612-2305
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Uwimana, Aimee DNP
Phone: (602) 399-0134

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Agencies / Case Management 251B00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X
Ambulatory Health Care Facilities / Primary Care 261QP2300X
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X

Profile Details

NPI number 1336837616
LBN Legal business name Ideal Treatment Center Llc
DBA Doing business as
Authorized official Uwimana, Aimee DNP
Entity Organization
Organization subpart 1 No
Enumeration date Apr 25th, 2023
Last updated Sep 7th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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