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1017 S Laguna Ave Parker AZ 85344-4945 | |
| (928) 669-6906 | |
| (928) 669-6909 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1017 S Laguna Ave, Parker, Arizona |
| Authorized Official Name and Position | Gerald Thomas Szymanski (PRESIDENT) |
| Authorized Official Contact | 9286696906 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1017 S Laguna Ave Parker AZ 85344-4945 Ph: (928) 669-6906 | 1017 S Laguna Ave Parker AZ 85344-4945 Ph: (928) 669-6906 |
| NPI Number | 1639396591 |
|---|---|
| Provider Enumeration Date | 04/19/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639396591 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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