OLIVE BRANCH BEHAVIORAL RESIDENCIAL NETWORK, LLC is a behavioral neurology and neuropsychiatry psychiatry neurology in Phoenix, AZ. The provider is behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues. OLIVE BRANCH BEHAVIORAL RESIDENCIAL NETWORK, LLC NPI is 1215574496. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
2421 E ROBERT E LEE ST
PHOENIX, AZ
ZIP 85032-082
Phone: (602) 569-0806
Fax: (602) 569-0537
The provider's authorized official is Tracy Barshell Ketchum .
The authorized official title is Cao,administrator and has the following contact phone number (708) 277-8673.
The enumeration date for this NPI number is 12/5/2019 and was last updated on 12/5/2019.