Organization
CEREBRO WELLNESS EMPOWERMENT CENTER
Active
Parent organization
CEREBRO WELLNESS
Organization subpart
Yes
Provider details
NPI number
Legal business name
CEREBRO WELLNESS
Authorized official
MR. BRYAN LAZARO PMHNP (ADMINISTRATOR)
(602) 888-3474
Entity
Organization
Contact information
Practice address
2750 W MCDOWELL RD, PHOENIX, AZ 85009-2605
(602) 888-3474
(762) 212-4347
Mailing address
5223 1/2 S 5TH ST, PHOENIX, AZ 85040-8707
(602) 904-2277
(762) 212-4347
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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