| 2 Be Different Llc | |
|
43972 W Yucca Ln Maricopa AZ 85138-4019 | |
| (707) 410-9511 | |
| Not Available |
| Full Name | 2 Be Different Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 43972 W Yucca Ln, Maricopa, Arizona |
| Authorized Official Name and Position | Randell Williams (OWNER) |
| Authorized Official Contact | 7074109511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 2 Be Different Llc 43972 W Yucca Ln Maricopa AZ 85138-4019 Ph: (707) 410-9511 | 2 Be Different Llc 43972 W Yucca Ln Maricopa AZ 85138-4019 Ph: (707) 410-9511 |
| NPI Number | 1982356549 |
|---|---|
| Provider Enumeration Date | 01/24/2022 |
| Last Update Date | 01/24/2022 |
| Certification Date | 01/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982356549 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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