Provider Demographics
NPI:1700445657
Name:THE NILE HEALTH NETWORK
Entity Type:Organization
Organization Name:THE NILE HEALTH NETWORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:KARINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-930-9994
Mailing Address - Street 1:PO BOX 5439
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85211-5439
Mailing Address - Country:US
Mailing Address - Phone:480-930-9994
Mailing Address - Fax:
Practice Address - Street 1:1367 S COUNTRY CLUB DR UNIT 1011
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85210-5155
Practice Address - Country:US
Practice Address - Phone:480-590-1190
Practice Address - Fax:480-590-1290
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-12
Last Update Date:2019-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness