| Peoples Mental Health Llc | |
|
9429 W Oregon Ave Glendale AZ 85305-3352 | |
| (301) 785-8946 | |
| Not Available |
| Full Name | Peoples Mental Health Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 9429 W Oregon Ave, Glendale, Arizona |
| Authorized Official Name and Position | Ibukun Fagbuyi (OWNER) |
| Authorized Official Contact | 7255021061 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peoples Mental Health Llc 9429 W Oregon Ave Glendale AZ 85305-3352 Ph: () - | Peoples Mental Health Llc 9429 W Oregon Ave Glendale AZ 85305-3352 Ph: (301) 785-8946 |
| NPI Number | 1063130086 |
|---|---|
| Provider Enumeration Date | 08/16/2022 |
| Last Update Date | 08/16/2022 |
| Medicare PECOS PAC ID | 5496139511 |
|---|---|
| Medicare Enrollment ID | O20220908001368 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063130086 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Ibukun Ajoke Fagbuyi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174280549 PECOS PAC ID: 2567840572 Enrollment ID: I20220603000660 |
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