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641 S Main St Snowflake AZ 85937-5595 | |
| (928) 536-4117 | |
| (928) 536-4117 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 641 S Main St, Snowflake, Arizona |
| Authorized Official Name and Position | Christopher A Frazier (DIRECTOR) |
| Authorized Official Contact | 9285364117 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 856 Snowflake AZ 85937-0856 Ph: (928) 536-4117 | 641 S Main St Snowflake AZ 85937-5595 Ph: (928) 536-4117 |
| NPI Number | 1063630788 |
|---|---|
| Provider Enumeration Date | 04/20/2007 |
| Last Update Date | 04/17/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063630788 | NPI | - | NPPES |
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