Organization
TRANS INTIMATE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DYLAN QUINN (EXECUTIVE DIRECTOR)
(360) 857-0893
Entity
Organization
Contact information
Practice address
1120 W UNIVERSITY AVE STE 200, FLAGSTAFF, AZ 86001-2879
(928) 224-9301
Mailing address
1120 W UNIVERSITY AVE STE 200, FLAGSTAFF, AZ 86001-2879
(928) 224-9301
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/03/2025
Last updated
06/03/2025
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