| Full Name | |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 242 S 1st Ave, Yuma, Arizona |
| Authorized Official Name and Position | Carolina Prieto (PSYCHOLOGIST) |
| Authorized Official Contact | 9289199521 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
6553 E Mission St Yuma AZ 85365-8851 Ph: (928) 919-9521 | 242 S 1st Ave Yuma AZ 85364-2264 Ph: (928) 919-9521 |
| NPI Number | 1871155135 |
|---|---|
| Provider Enumeration Date | 07/07/2019 |
| Last Update Date | 07/10/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871155135 | NPI | - | NPPES |
| 219333 | Medicaid | AZ |
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