Houck Restoration Center Llc | |
295 County Road 1.5 Mile Nw Houck Chapter House Houck AZ 86506 | |
(928) 216-0098 | |
Not Available |
Full Name | Houck Restoration Center Llc |
---|---|
Speciality | Counselor - Mental Health |
Location | 295 County Road 1.5 Mile Nw Houck Chapter House, Houck, Arizona |
Authorized Official Name and Position | Deann Tully (MEMBER) |
Authorized Official Contact | 9282160098 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Houck Restoration Center Llc Po Box 1742 Sanders AZ 86512-1742 Ph: (928) 216-0098 | Houck Restoration Center Llc 295 County Road 1.5 Mile Nw Houck Chapter House Houck AZ 86506 Ph: (928) 216-0098 |
NPI Number | 1760259915 |
---|---|
Provider Enumeration Date | 12/07/2023 |
Last Update Date | 12/07/2023 |
Certification Date | 12/06/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760259915 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |