Cognitive Function Development Institute, Inc. | |
Cognitive Function Development Institute 3250 Gateway Blvd, Suite 200 Prescott AZ 86303 | |
(507) 251-0851 | |
(928) 515-2278 |
Full Name | Cognitive Function Development Institute, Inc. |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | Cognitive Function Development Institute, Prescott, Arizona |
Authorized Official Name and Position | Brian Beyst (CFO / DIRECTOR OF R&D) |
Authorized Official Contact | 5072510851 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Cognitive Function Development Institute, Inc. 6895 E Lynx Wagon Rd Prescott Valley AZ 86314-1932 Ph: (507) 251-0851 | Cognitive Function Development Institute, Inc. Cognitive Function Development Institute 3250 Gateway Blvd, Suite 200 Prescott AZ 86303 Ph: (507) 251-0851 |
NPI Number | 1386443265 |
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Provider Enumeration Date | 03/12/2025 |
Last Update Date | 03/12/2025 |
Certification Date | 03/10/2025 |
Identifier | Type | State | Issuer |
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1386443265 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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