| Organization Name: | MARK C. BROWN, PHD,LLC |
| NPI Number: | 1023406782 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARK C. BROWN (OWNER) |
| Mailing Address: | 1188 Bell Rd Suite 203 Chagrin Falls |
| State: | OH US |
| Postal Code: | 440226100 |
| Phone Number: | 4403383214 |
| Fax Number: | 4403383215 |
| NPI Enumeration Date: | 01/05/2015 |
| NPI Last Update Date: | 01/05/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | 2304 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |