Rehema Outpatient Treatment Center LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

REHEMA OUTPATIENT TREATMENT CENTER LLC

Practice address

1968A N Peart Rd Ste 3
Casa Grande, AZ 85122-2496

Phone

(480) 930-7606

NPI assigned

Oct 7, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Joseph Mwangi Ndungu, OWNER

Title

Ceo

Phone

(503) 964-0794

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1665100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665100800000",
    "number": "1508581976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1968A N PEART RD STE 3",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851222496",
            "telephone_number": "480-930-7606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1968A N PEART RD STE 3",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851222496",
            "telephone_number": "480-930-7606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHEMA OUTPATIENT TREATMENT CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-07",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A",
        "authorized_official_last_name": "NDUNGU",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "MWANGI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "503-964-0794",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Casa Grande, AZ
• Providers in Casa Grande, AZ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.