| Overcoming Life Obstacles, Llc | |
|
1349 W Coral Reef Dr Gilbert AZ 85233-6105 | |
| (678) 790-6743 | |
| Not Available |
| Full Name | Overcoming Life Obstacles, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1349 W Coral Reef Dr, Gilbert, Arizona |
| Authorized Official Name and Position | Ivy Jones (CREDENTIALER) |
| Authorized Official Contact | 4808680465 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Overcoming Life Obstacles, Llc Po Box 1154 Chandler AZ 85244-1154 Ph: (678) 790-6743 | Overcoming Life Obstacles, Llc 1349 W Coral Reef Dr Gilbert AZ 85233-6105 Ph: (678) 790-6743 |
| NPI Number | 1457932865 |
|---|---|
| Provider Enumeration Date | 04/16/2021 |
| Last Update Date | 04/16/2021 |
| Certification Date | 04/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457932865 | NPI | - | NPPES |
| 111111 | Other | INDEPENDENT MEDICAL FACILITY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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