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Active
Organization subpart
No

Provider details

NPI number
Authorized official
FELICIA BROWN (OWER)
(702) 801-1392
Entity
Organization

Contact information

Practice address
2616 W CARSON RD, PHOENIX, AZ 85041-6441
(702) 986-1334
Mailing address
2616 W CARSON RD, PHOENIX, AZ 85041-6441
(702) 986-1334

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
07/13/2022
Last updated
07/13/2022
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