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2028 N Trekell Rd Ste 102 Casa Grande AZ 85122-1326 | |
| (520) 721-1887 | |
| (520) 721-0069 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2028 N Trekell Rd Ste 102, Casa Grande, Arizona |
| Authorized Official Name and Position | Rose M Lopez (PRESIDENT AND CEO) |
| Authorized Official Contact | 5207211887 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 86537 Tucson AZ 85754-6537 Ph: (520) 721-1887 | 2028 N Trekell Rd Ste 102 Casa Grande AZ 85122-1326 Ph: (520) 721-1887 |
| NPI Number | 1083315626 |
|---|---|
| Provider Enumeration Date | 03/10/2023 |
| Last Update Date | 02/15/2024 |
| Certification Date | 02/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083315626 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Intermountain Health Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1821 N. Trekell Road, Suite 1, Casa Grande, AZ 85122 Phone: 520-426-4289 Fax: 520-421-0792 | |
Higher Heights Human Services Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 615 W Cottonwood Ln Ste 5-6, Casa Grande, AZ 85122 Phone: 702-772-5488 | |
Horizon Human Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 865 N. Arizola Rd, Casa Grande, AZ 85222 Phone: 520-421-2543 Fax: 520-421-1032 | |