Regional Center For Border Health, Inc. | |
1896 E Babbitt Ln San Luis AZ 85349 | |
(928) 722-6112 | |
(928) 722-6113 |
Full Name | Regional Center For Border Health, Inc. |
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Speciality | Counselor - Mental Health |
Location | 1896 E Babbitt Ln, San Luis, Arizona |
Authorized Official Name and Position | Amanda Aguirre (PRESIDENT & CEO) |
Authorized Official Contact | 9286271120 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Regional Center For Border Health, Inc. Po Box 617 Somerton AZ 85350 Ph: (928) 627-1120 | Regional Center For Border Health, Inc. 1896 E Babbitt Ln San Luis AZ 85349 Ph: (928) 722-6112 |
NPI Number | 1659823664 |
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Provider Enumeration Date | 10/26/2016 |
Last Update Date | 09/07/2023 |
Certification Date | 09/07/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659823664 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | OTC7579 (Arizona) | Primary |
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