The Olive Foundation LLC

NPI #1598402216 in Chandler, Arizona

Provider Information

NPI Number: 1598402216
Entity Type: Organization
Organization Name: The Olive Foundation LLC
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: May 14, 2022
Last Updated: May 14, 2022

Practice Location

Address: 820 S BRIDGER DR
City: Chandler
State: Arizona
ZIP Code: 85225-6490
Phone: (602) 612-2231

Authorized Official

Name: CHARLES OGU
Title: OWNER
Phone: (602) 612-2231

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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