Organization · Type 2 NPI
Olive Branch, LLC
Emotionally Disturbed Childrens' Residential Treatment Facility · Casa Grande, AZ
NPI number
1386065159
Active
Practice location
411 W 9th St
Casa Grande, AZ 85122-3204
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility Primary | 322D00000X | BH4335 (AZ) |
Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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About NPI 1386065159
Olive Branch, LLC's National Provider Identifier is 1386065159, issued on Dec 23, 2013. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Casa Grande, AZ. The record was last updated on Dec 23, 2013.