NPI 1598402216

The Olive Foundation LLC

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Chandler, AZ

Practice location

Address: 820 S Bridger Dr, Chandler, AZ 85225-6490
Phone: (602) 612-2231
Fax: (602) 429-8462
Mailing address: 6638 S 6th Ave, Phoenix, AZ 85041-5764

Authorised official

Name: Charles Ogu
Title: Owner
Phone: (602) 612-2231

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

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Registry record

NPI: 1598402216
Entity type: Organization
NPI issued: 14 May 2022
Record last updated: 14 May 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.