| Nazcare, Inc - Pride Wellness Center | |
|
1112 W Arizona Ave Suite 4 Parker AZ 85344-5766 | |
| (928) 442-9205 | |
| Not Available |
| Full Name | Nazcare, Inc - Pride Wellness Center |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1112 W Arizona Ave, Parker, Arizona |
| Authorized Official Name and Position | Roberta Lynne Howard (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 9284429205 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nazcare, Inc - Pride Wellness Center 599 White Spar Rd Prescott AZ 86303-4627 Ph: (928) 442-9205 | Nazcare, Inc - Pride Wellness Center 1112 W Arizona Ave Suite 4 Parker AZ 85344-5766 Ph: (928) 442-9205 |
| NPI Number | 1679910202 |
|---|---|
| Provider Enumeration Date | 05/22/2013 |
| Last Update Date | 05/22/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679910202 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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