Emmanuel Ade Epie Valid NPI
Individual provider · Psychiatric Residential Treatment Facility · Phoenix, AZ
- NPI
- 1487932893
- Type
- Individual (Type 1)
- Primary specialty
- Psychiatric Residential Treatment Facility
- Specialty group
- Residential Treatment Facilities
- Taxonomy code
- 323P00000X
- License number
- BH3872 (AZ)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2011-08-02
- Last updated
- 2019-09-30
Practice location
7204 W Pueblo Ave
Phoenix, AZ 85043-2037
(623) 440-7423