Olive Branch Behavioral Residencial Network, Llc
LBN: Olive Branch Behavioral Residencial Network, Llc
Olive Branch Behavioral Residencial Network, Llc is an health care organization with primary practice located at 2421 E Robert E Lee St , Phoenix AZ 85032-1082. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Behavioral Neurology & Neuropsychiatry, which is considered as the primary health care specialty.
Olive Branch Behavioral Residencial Network, Llc can be contacted via phone (602) 569-0806, or through Ketchum, Tracy Barshell via phone (708) 277-8673.
Contact Information
Primary practice address
2421 E Robert E Lee St
Phoenix AZ 85032-1082
Phone: (602) 569-0806
Fax: (602) 569-0537
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Behavioral Neurology & Neuropsychiatry | 2084B0040X |
Profile Details
| NPI number | 1215574496 |
|---|---|
| LBN Legal business name | Olive Branch Behavioral Residencial Network, Llc |
| DBA Doing business as | |
| Authorized official | Ketchum, Tracy Barshell |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 5th, 2019 |
| Last updated | Dec 5th, 2019 - about 5 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215574496 | NPPES |
| Arizona | Other | 1028196670 | BEHAVIORAL HEALTH |
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