| Equine Educational Experiences | |
|
7795 Pine Canyon Dr Flagstaff AZ 86004-1266 | |
| (928) 606-6007 | |
| Not Available |
| Full Name | Equine Educational Experiences |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 7795 Pine Canyon Dr, Flagstaff, Arizona |
| Authorized Official Name and Position | Donna Jo Halterman (PRESIDENT) |
| Authorized Official Contact | 9286066007 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Equine Educational Experiences 7795 Pine Canyon Dr Flagstaff AZ 86004-1266 Ph: (928) 606-6007 | Equine Educational Experiences 7795 Pine Canyon Dr Flagstaff AZ 86004-1266 Ph: (928) 606-6007 |
| NPI Number | 1760789457 |
|---|---|
| Provider Enumeration Date | 02/16/2011 |
| Last Update Date | 02/16/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760789457 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LAC 12862 (Arizona) | Primary |
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