Organization
TRANQUIL MINDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS S OWUSU (CEO)
(630) 532-3036
Entity
Organization
Contact information
Practice address
3326 N 44TH ST, PHOENIX, AZ 85018-6459
(602) 456-9804
(602) 325-0555
Mailing address
13754 STAR RUBY AVE, EASTVALE, CA 92880-5558
(630) 532-3036
(602) 325-0555
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
01/23/2024
Last updated
01/23/2024
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