Provider Demographics
NPI:1598559502
Name:NEURALNET BIOTECH
Entity type:Organization
Organization Name:NEURALNET BIOTECH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:CRYSTAL
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:GREER
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:619-510-5450
Mailing Address - Street 1:131 CONTINENTAL DR STE 305
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-4324
Mailing Address - Country:US
Mailing Address - Phone:619-510-5450
Mailing Address - Fax:
Practice Address - Street 1:41868 W ALLEGRA DR
Practice Address - Street 2:
Practice Address - City:MARICOPA
Practice Address - State:AZ
Practice Address - Zip Code:85138-1885
Practice Address - Country:US
Practice Address - Phone:619-510-5450
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-07
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083C0008XAllopathic & Osteopathic PhysiciansPreventive MedicineClinical InformaticsGroup - Multi-Specialty
No251B00000XAgenciesCase ManagementGroup - Multi-Specialty
No251C00000XAgenciesDay Training, Developmentally Disabled Services