| Cimmaron Ash Behavioral Healthcare | |
|
719 E Cottonwood Ln Casa Grande AZ 85122-2700 | |
| (520) 858-0261 | |
| (520) 858-0260 |
| Full Name | Cimmaron Ash Behavioral Healthcare |
|---|---|
| Speciality | Behavior Analyst |
| Location | 719 E Cottonwood Ln, Casa Grande, Arizona |
| Authorized Official Name and Position | Kiyana V Brutus (OWNER/MEDICAL DIRECTOR) |
| Authorized Official Contact | 4806942574 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cimmaron Ash Behavioral Healthcare 719 E Cottonwood Ln Casa Grande AZ 85122-2700 Ph: (520) 858-0261 | Cimmaron Ash Behavioral Healthcare 719 E Cottonwood Ln Casa Grande AZ 85122-2700 Ph: (520) 858-0261 |
| NPI Number | 1285966424 |
|---|---|
| Provider Enumeration Date | 02/12/2010 |
| Last Update Date | 04/14/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285966424 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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