| Open Mind Group Llc | |
|
8433 N Black Canyon Hwy Ste 100-18 Phoenix AZ 85021-4873 | |
| (602) 657-9400 | |
| (703) 202-9185 |
| Full Name | Open Mind Group Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 8433 N Black Canyon Hwy Ste 100-18, Phoenix, Arizona |
| Authorized Official Name and Position | Frank Joseph Genova (OWNER) |
| Authorized Official Contact | 6026579400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Open Mind Group Llc 1121 W Bethany Home Rd Phoenix AZ 85013-1617 Ph: (602) 657-9400 | Open Mind Group Llc 8433 N Black Canyon Hwy Ste 100-18 Phoenix AZ 85021-4873 Ph: (602) 657-9400 |
| NPI Number | 1558193391 |
|---|---|
| Provider Enumeration Date | 08/19/2024 |
| Last Update Date | 08/21/2024 |
| Certification Date | 08/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558193391 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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