| Ohana Behavioral Services, Llc | |
|
2735 E Main St Ste 9 Mesa AZ 85213-9269 | |
| (619) 823-9444 | |
| Not Available |
| Full Name | Ohana Behavioral Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2735 E Main St Ste 9, Mesa, Arizona |
| Authorized Official Name and Position | Kimo Henson (OWNER) |
| Authorized Official Contact | 6198239444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ohana Behavioral Services, Llc 10246 Lairwood Dr Santee CA 92071-1614 Ph: (619) 619-9444 | Ohana Behavioral Services, Llc 2735 E Main St Ste 9 Mesa AZ 85213-9269 Ph: (619) 823-9444 |
| NPI Number | 1003474008 |
|---|---|
| Provider Enumeration Date | 06/04/2019 |
| Last Update Date | 09/09/2020 |
| Certification Date | 09/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003474008 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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