Provider Demographics
NPI:1124166343
Name:BROWN, NEIL J
Entity type:Individual
Prefix:MR
First Name:NEIL
Middle Name:J
Last Name:BROWN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56357 PIMA TRL
Mailing Address - Street 2:CHILDREN CRISIS RESPONSE TEAM
Mailing Address - City:YUCCA VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92284-3607
Mailing Address - Country:US
Mailing Address - Phone:760-228-5242
Mailing Address - Fax:760-228-5244
Practice Address - Street 1:56357 PIMA TRL
Practice Address - Street 2:CHILDREN CRISIS RESPONSE TEAM
Practice Address - City:YUCCA VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92284-3607
Practice Address - Country:US
Practice Address - Phone:760-228-5242
Practice Address - Fax:760-228-5244
Is Sole Proprietor?:No
Enumeration Date:2007-02-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health