Douglas Arc | |
610 9th Street Douglas AZ 85607 | |
(520) 364-7473 | |
(520) 364-2236 |
Full Name | Douglas Arc |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 610 9th Street, Douglas, Arizona |
Authorized Official Name and Position | Gary J Clark (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 5203647473 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Douglas Arc Po Box 252 Douglas AZ 85608 Ph: (520) 364-7473 | Douglas Arc 610 9th Street Douglas AZ 85607 Ph: (520) 364-7473 |
NPI Number | 1760589204 |
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Provider Enumeration Date | 09/19/2006 |
Last Update Date | 08/21/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760589204 | NPI | - | NPPES |
704933 | Other | AZ | AHCCCS |
CSA06ADHS0046 | Other | AZ | AZ BEHAVIORAL HEALTH SERV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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