institution
Olive Branch Behavioral Residencial Network, Llc
Behavioral Neurology & Neuropsychiatry Physician in Phoenix, Arizona
NPI 1215574496

Olive Branch Behavioral Residencial Network, Llc is a Behavioral Neurology & Neuropsychiatry Physician based in Surprise, AZ and is specialized in Behavioral Neurology & Neuropsychiatry. Olive Branch Behavioral Residencial Network, Llc practices in Phoenix, AZ. The NPI Number for Olive Branch Behavioral Residencial Network, Llc is 1215574496 and holds a License No. (Arizona).

The current practice location address for Olive Branch Behavioral Residencial Network, Llc is 2421 E Robert E Lee St, Phoenix, AZ and can be reached out via phone at 602-569-0806 and via fax at 602-569-0537. You can also correspond with Olive Branch Behavioral Residencial Network, Llc through the mailing address at 15712 W EUCALYPTUS CT, SURPRISE, AZ - 85374-3308 (mailing address contact number: 708-277-8673).

Location: 2421 E Robert E Lee St, Phoenix, AZ, 85374-3308
institution
Provider Profile Details
NPI Number
1215574496
Provider Name
Olive Branch Behavioral Residencial Network, Llc
Credential
Provider Entity Type
Organization
Address
2421 E Robert E Lee St, Phoenix, AZ, 85374-3308
Phone Number
602-569-0806
Fax Number
602-569-0537
Provider Enumeration Date
12/05/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1028196670 01 AZ BEHAVIORAL HEALTH
institution
Provider Business Practice Location Address Details
Address
2421 E Robert E Lee St
City
State
Zip
85032-1082
Phone Number
602-569-0806
Fax Number
602-569-0537
person
Provider Business Mailing Address Details
Address
2421 E Robert E Lee St
City
State
Zip
85032-1082
Phone Number
602-569-0806
Fax Number
602-569-0537
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Behavioral Neurology & Neuropsychiatry
Taxonomy
License No.
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Definition
Behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues.
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