Olive Branch, LLC
NPI #1386065159 in Casa Grande, Arizona
Provider Information
- NPI Number
- 1386065159
- Entity Type
- Organization
- Organization Name
- Olive Branch, LLC
- Primary Specialty
- Residential Treatment Facility, Emotionally Disturbed Children
- Enumeration Date
- Dec 23, 2013
- Last Updated
- Dec 23, 2013
Practice Location
- Address
- 411 W 9TH ST
- City
- Casa Grande
- State
- Arizona
- ZIP Code
- 85122-3204
- Phone
- (520) 423-7376
Authorized Official
- Name
- MR. KENT P VOLKMER, J.D., M.B.A
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (520) 423-7376
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Emotionally Disturbed Children |
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