Olive Branch Behavioral Residencial Network, LLC
NPI #1215574496 in Phoenix, Arizona
Provider Information
- NPI Number
- 1215574496
- Entity Type
- Organization
- Organization Name
- Olive Branch Behavioral Residencial Network, LLC
- Primary Specialty
- Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry
- Enumeration Date
- Dec 5, 2019
- Last Updated
- Dec 5, 2019
Practice Location
Authorized Official
- Name
- MS. TRACY BARSHELL KETCHUM
- Title
- CAO,ADMINISTRATOR
- Phone
- (708) 277-8673
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry — Behavioral Neurology & Neuropsychiatry |
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