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38000 South Arivaca Ranch Road Arivaca AZ 85601 | |
(877) 886-9766 | |
(866) 458-4492 |
Full Name | |
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Speciality | Clinic/center - Adolescent And Children Mental Health |
Location | 38000 South Arivaca Ranch Road, Arivaca, Arizona |
Authorized Official Name and Position | Ronald P Searle (OWNER) |
Authorized Official Contact | 4802168982 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 547 Arivaca AZ 85601-0547 Ph: (877) 886-9766 | 38000 South Arivaca Ranch Road Arivaca AZ 85601 Ph: (877) 886-9766 |
NPI Number | 1033497276 |
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Provider Enumeration Date | 07/21/2011 |
Last Update Date | 06/20/2018 |
Identifier | Type | State | Issuer |
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1033497276 | NPI | - | NPPES |
BH-3035 | Other | AZ | ARIZONA BEHAVIORAL HEALTH LICENSE |