Rosewood Ranch | |
521 W Wickenburg Way Wickenburg AZ 85390-5200 | |
(928) 684-8981 | |
(928) 684-9562 |
Full Name | Rosewood Ranch |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 521 W Wickenburg Way, Wickenburg, Arizona |
Authorized Official Name and Position | Tyeast Reynolds (DIRECTOR OF RCM) |
Authorized Official Contact | 6788130428 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Rosewood Ranch 2300 Windy Ridge Pkwy Se Ste 210 Atlanta GA 30339-5665 Ph: (470) 440-1647 | Rosewood Ranch 521 W Wickenburg Way Wickenburg AZ 85390-5200 Ph: (928) 684-8981 |
NPI Number | 1023239159 |
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Provider Enumeration Date | 05/02/2007 |
Last Update Date | 04/11/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023239159 | NPI | - | NPPES |
AZ0205580 | Other | AZ | BCBS OF AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | BH-2495 (Arizona) | Primary |
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