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Olive Branch, Llc
Emotionally Disturbed Childrens' Residential Treatment Facility in Casa Grande, Arizona
NPI 1386065159

Olive Branch, Llc is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Casa Grande, AZ. Olive Branch, Llc practices in Casa Grande, AZ. The NPI Number for Olive Branch, Llc is 1386065159 and holds a License No. BH4335 (Arizona).

The current practice location address for Olive Branch, Llc is 411 W 9Th St, Casa Grande, AZ and can be reached out via phone at 520-423-7376. You can also correspond with Olive Branch, Llc through the mailing address at 411 W 9TH ST, CASA GRANDE, AZ - 85122-3204 (mailing address contact number: 520-423-7376).

Location: 411 W 9Th St, Casa Grande, AZ, 85122-3204
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1386065159
Provider Name
Olive Branch, Llc
Credential
Provider Entity Type
Organization
Address
411 W 9Th St, Casa Grande, AZ, 85122-3204
Phone Number
520-423-7376
Fax Number
Provider Enumeration Date
12/23/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
411 W 9Th St
City
Casa Grande
State
Arizona
Zip
85122-3204
Phone Number
520-423-7376
Fax Number
person
Provider Business Mailing Address Details
Address
411 W 9Th St
City
Casa Grande
State
Arizona
Zip
85122-3204
Phone Number
520-423-7376
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
BH4335 (Arizona)
Definition
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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