Organization
MIND OVER MATTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANITA GRIFFIN PARKS (OWNER)
(404) 447-5640
Entity
Organization
Contact information
Practice address
2301 W DUNLAP AVE STE 106, PHOENIX, AZ 85021-2845
(404) 447-5640
Mailing address
2301 W DUNLAP AVE STE 106, PHOENIX, AZ 85021-2845
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/24/2021
Last updated
09/24/2021
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