Gabriel Outreach Inc | |
1141 E Cooley St Show Low AZ 85901-5103 | |
(928) 532-3238 | |
Not Available |
Full Name | Gabriel Outreach Inc |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 1141 E Cooley St, Show Low, Arizona |
Authorized Official Name and Position | Jean M Lee (CEO) |
Authorized Official Contact | 9285323238 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Gabriel Outreach Inc Po Box 3872 Show Low AZ 85902-3872 Ph: (928) 532-3238 | Gabriel Outreach Inc 1141 E Cooley St Show Low AZ 85901-5103 Ph: (928) 532-3238 |
NPI Number | 1558013797 |
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Provider Enumeration Date | 01/19/2022 |
Last Update Date | 01/19/2022 |
Certification Date | 01/19/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558013797 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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