person
Mr. Salim Otieno Odiero
Mental Illness Community Based Residential Treatment Facility in Mesa, Arizona
NPI 1144836669

Salim Otieno Odiero is a Mental Illness Community Based Residential Treatment Facility based in Mesa, AZ. Salim Otieno Odiero practices in Mesa, AZ. The NPI Number for Salim Otieno Odiero is 1144836669 and holds a License No. BH5615 (Arizona).

The current practice location address for Salim Otieno Odiero is 9138 E Dennis St, Mesa, AZ and can be reached out via phone at 480-380-4413 and via fax at 480-530-5408. You can also correspond with Salim Otieno Odiero through the mailing address at 9138 E DENNIS ST, MESA, AZ - 85207-6008 (mailing address contact number: 480-380-4413).

Location: 9138 E Dennis St, Mesa, AZ, 85207-6008
person
Provider Profile Details
NPI Number
1144836669
Provider Name
Salim Otieno Odiero
Credential
Provider Entity Type
Individual
Gender
Male
Address
9138 E Dennis St, Mesa, AZ, 85207-6008
Phone Number
480-380-4413
Fax Number
480-530-5408
Provider Enumeration Date
09/21/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
465372 05 AZ
institution
Provider Business Practice Location Address Details
Address
9138 E Dennis St
City
State
Zip
85207-6008
Phone Number
480-380-4413
Fax Number
480-530-5408
person
Provider Business Mailing Address Details
Address
9138 E Dennis St
City
State
Zip
85207-6008
Phone Number
480-380-4413
Fax Number
480-530-5408
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
License No.
BH5615 (Arizona)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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