| Northern Arizona | |
|
365 S Main St Camp Verde AZ 86322-7272 | |
| (928) 567-3834 | |
| (928) 567-8711 |
| Full Name | Northern Arizona |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 365 S Main St, Camp Verde, Arizona |
| Authorized Official Name and Position | Christy Dye (CEO) |
| Authorized Official Contact | 6026501212 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern Arizona 2701 N 16th St Suite 316 Phoenix AZ 85006-1263 Ph: (602) 650-1212 | Northern Arizona 365 S Main St Camp Verde AZ 86322-7272 Ph: (928) 567-3834 |
| NPI Number | 1770718546 |
|---|---|
| Provider Enumeration Date | 05/22/2009 |
| Last Update Date | 05/22/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770718546 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | BH-3261 (Arizona) | Primary |
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