Provider Demographics
NPI:1003512435
Name:ART OF INTELLIGENT MINDS
Entity Type:Organization
Organization Name:ART OF INTELLIGENT MINDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:ALEEC
Authorized Official - Last Name:ROBLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:928-318-7503
Mailing Address - Street 1:256 S 2ND AVE STE G
Mailing Address - Street 2:
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85364-2257
Mailing Address - Country:US
Mailing Address - Phone:928-318-7503
Mailing Address - Fax:
Practice Address - Street 1:256 S 2ND AVE STE G
Practice Address - Street 2:
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85364-2257
Practice Address - Country:US
Practice Address - Phone:928-318-7503
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-07
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health