Cognitive Function Development Institute, INC.
Clinic/Center, Mental Health (Including Community Mental Health Center) in Prescott, AZ. Organization (NPI-2).
NPI number1386443265
StatusActive
Last updated in NPPESMar 12, 2025
Details
- NPI
- 1386443265
- Entity type
- Organization (NPI-2)
- Legal business name
- Cognitive Function Development Institute, INC.
- Organization subpart
- Yes
- Enumeration date
- Mar 12, 2025
- Certification date
- Mar 10, 2025
- Last updated
- Mar 12, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
Cognitive Function Development Institute3250 Gateway Blvd, Suite 200
Prescott, AZ 86303
Phone 507-251-0851 · Fax 928-515-2278
Mailing address
6895 E Lynx Wagon RdPrescott Valley, AZ 86314-1932
Phone 507-251-0851 · Fax 928-515-2278
Authorized official
Brian Beyst
Cfo / Director Of R&D
5072510851
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