| Innercore Transformation | |
|
1403 Lobo Trl Snowflake AZ 85937-5465 | |
| (190) 777-5874 | |
| (888) 265-5270 |
| Full Name | Innercore Transformation |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1403 Lobo Trl, Snowflake, Arizona |
| Authorized Official Name and Position | Linda A Rasmussen (PRESIDENT) |
| Authorized Official Contact | 9077758742 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innercore Transformation 1403 Lobo Trl Snowflake AZ 85937-5465 Ph: (190) 777-5874 | Innercore Transformation 1403 Lobo Trl Snowflake AZ 85937-5465 Ph: (190) 777-5874 |
| NPI Number | 1982454377 |
|---|---|
| Provider Enumeration Date | 03/26/2024 |
| Last Update Date | 03/26/2024 |
| Certification Date | 03/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982454377 | NPI | - | NPPES |
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