Organization
2 BE DIFFERENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDELL WILLIAMS (OWNER)
(707) 410-9511
Entity
Organization
Contact information
Practice address
43972 W YUCCA LN, MARICOPA, AZ 85138-4019
(707) 410-9511
Mailing address
43972 W YUCCA LN, MARICOPA, AZ 85138-4019
(707) 410-9511
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/24/2022
Last updated
01/24/2022
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