Organization · NPI-2

Fight4 Me Service LLC

Clinic/Center, Mental Health (Including Community Mental Health Center) · Prescott Valley, AZ

NPI number1992612931
StatusActive
Last updated in NPPESAug 25, 2026

Details

NPI
1992612931
Entity type
Organization (NPI-2)
Legal business name
Fight4 Me Service LLC
Organization subpart
No
Enumeration date
Aug 25, 2026
Certification date
Aug 25, 2026
Last updated
Aug 25, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Practice location

7598 E Palo Verde St Ste B
Prescott Valley, AZ 86314-3255

Phone 520-510-9633

Mailing address

7598 E Palo Verde St Ste B
Prescott Valley, AZ 86314-3255

Authorized official

Taofik Ottun
Director
5205109633

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