Organization
INNOVATIVE MINDS BEHAVIORAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BREANA NOVERO (CEO)
(470) 428-6773
Entity
Organization
Contact information
Practice address
2406 S 24TH ST BLDG B, PHOENIX, AZ 85034-6822
(470) 428-6773
Mailing address
911 E TAYLOR ST, PHOENIX, AZ 85006-3359
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/19/2022
Last updated
07/19/2022
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