Icarus House Llc.
NPI #1164288809 in Buckeye, Arizona
Provider Information
- NPI Number
- 1164288809
- Entity Type
- Organization
- Organization Name
- Icarus House Llc.
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Feb 21, 2024
- Last Updated
- Feb 21, 2024
Practice Location
Authorized Official
- Name
- DONATUS AGBAKWU
- Title
- CEO/MANGER
- Phone
- (310) 621-2776
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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