Hassayampa Center For Families Llc | |
510 W Savage St Wickenburg AZ 85390-2206 | |
(203) 449-0972 | |
(480) 383-6356 |
Full Name | Hassayampa Center For Families Llc |
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Speciality | Community/behavioral Health |
Location | 510 W Savage St, Wickenburg, Arizona |
Authorized Official Name and Position | Laura L Gates (OWNER) |
Authorized Official Contact | 2034490972 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Hassayampa Center For Families Llc 515 Desert Canyon Rd Wickenburg AZ 85390-3360 Ph: (203) 449-0972 | Hassayampa Center For Families Llc 510 W Savage St Wickenburg AZ 85390-2206 Ph: (203) 449-0972 |
NPI Number | 1477913952 |
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Provider Enumeration Date | 02/26/2016 |
Last Update Date | 03/10/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477913952 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | LCSW-12968 (Arizona) | Primary |
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