| Clarvida | |
|
3818 W 16th St Bldg 5 Yuma AZ 85364-4107 | |
| (928) 317-0177 | |
| (928) 783-0522 |
| Full Name | Clarvida |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3818 W 16th St Bldg 5, Yuma, Arizona |
| Authorized Official Name and Position | Nancy Poe (CONTRACTS ADMINSTRATOR) |
| Authorized Official Contact | 5205701460 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clarvida 1161 N El Dorado Pl Ste 203 Tucson AZ 85715-4607 Ph: (520) 748-7108 | Clarvida 3818 W 16th St Bldg 5 Yuma AZ 85364-4107 Ph: (928) 317-0177 |
| NPI Number | 1457645038 |
|---|---|
| Provider Enumeration Date | 06/01/2011 |
| Last Update Date | 06/11/2024 |
| Certification Date | 06/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457645038 | NPI | - | NPPES |
| 000283 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | OTC6975 (Arizona) | Primary |
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