| Lazy Horse Ranch | |
|
714 N Madison Ave Benson AZ 85602-6004 | |
| (520) 826-2206 | |
| Not Available |
| Full Name | Lazy Horse Ranch |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 714 N Madison Ave, Benson, Arizona |
| Authorized Official Name and Position | Ann M Supplee (DIRECTOR) |
| Authorized Official Contact | 5208262206 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lazy Horse Ranch 3651 E Doe Ranch Rd Pearce AZ 85625-6002 Ph: (520) 826-2206 | Lazy Horse Ranch 714 N Madison Ave Benson AZ 85602-6004 Ph: (520) 826-2206 |
| NPI Number | 1649502923 |
|---|---|
| Provider Enumeration Date | 02/11/2010 |
| Last Update Date | 02/14/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649502923 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | CSA09ADHS0188 2 (Arizona) | Primary |
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