IDEAL TREATMENT CENTER LLC

PHOENIX, AZ
NPI1336837616
Entity TypeOrganization
Authorized ContactAIMEE UWIMANA
Nurse Practitioner
602-399-0134
Organization Subpart ?No
Primary Taxonomy261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center)
Additional Taxonomies101YA0400X Counselor Addiction (Substance Use Disorder)
101YM0800X Counselor Mental Health
163WP0808X Registered Nurse Psychiatric/Mental Health
251B00000X Case Management
261Q00000X Clinic/Center
261QM0850X Clinic/Center Adult Mental Health
261QM1300X Clinic/Center Multi-Specialty
261QP2300X Clinic/Center Primary Care
261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder
363LP0808X Nurse Practitioner Psychiatric/Mental Health
363LP2300X Nurse Practitioner Primary Care
Enumeration Date2023-04-25
Last Update Date2025-06-04
Business Address
IDEAL TREATMENT CENTER LLC
1717 W NORTHERN AVE STE 107
PHOENIX, AZ 85021-5400
Phone number: 602-612-2305
Mailing Address
IDEAL TREATMENT CENTER LLC
1717 W NORTHERN AVE STE 107
PHOENIX, AZ 85021-5400
Phone number: 602-612-2305