# CRANIAL TECHNOLOGIES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CRANIAL TECHNOLOGIES, INC.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1104514215
- **Legal business name:** CRANIAL TECHNOLOGIES, INC.
- **Authorized official:** OUMOU K BAH (COMPLIANCE & MEDICAID SPECIALIST)
- **Authorized official phone:** (602) 393-8188

## Contact information

- **Practice address:** 235 GEORGIA AVE STE 101, PROVIDENCE, RI 02905-4516
- **Practice address phone:** (844) 447-5895
- **Mailing address:** 1405 W AUTO DR FL 2, TEMPE, AZ 85284-1227
- **Mailing address phone:** (844) 447-5894

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BC3200X | Customized Equipment (DME) | — | NULL | — |
| 335E00000X | Prosthetic/Orthotic Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 04/26/2023
- **Last updated:** 04/26/2023