| Innovated Mind | |
|
12175 Mcdowell Rd 1218 Avondale AZ 85392 | |
| (832) 866-5726 | |
| Not Available |
| Full Name | Innovated Mind |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 12175 Mcdowell Rd, Avondale, Arizona |
| Authorized Official Name and Position | Ketura James (OWNER) |
| Authorized Official Contact | 8328665726 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovated Mind 12175 Mcdowell Rd 1218 Avondale AZ 85392 Ph: () - | Innovated Mind 12175 Mcdowell Rd 1218 Avondale AZ 85392 Ph: (832) 866-5726 |
| NPI Number | 1932818051 |
|---|---|
| Provider Enumeration Date | 11/17/2022 |
| Last Update Date | 11/17/2022 |
| Certification Date | 11/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932818051 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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