| San Carlos Apache Wellness Center | |
|
5 San Carlos Ave San Carlos AZ 85550 | |
| (928) 475-4875 | |
| Not Available |
| Full Name | San Carlos Apache Wellness Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5 San Carlos Ave, San Carlos, Arizona |
| Authorized Official Name and Position | Joseph Marvin Simmons (CHILD SERVICES CLINICAL COORDINATOR) |
| Authorized Official Contact | 9284754875 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Carlos Apache Wellness Center 5 San Carlos Ave. San Carlos AZ 85550 Ph: (928) 475-4875 | San Carlos Apache Wellness Center 5 San Carlos Ave San Carlos AZ 85550 Ph: (928) 475-4875 |
| NPI Number | 1043761182 |
|---|---|
| Provider Enumeration Date | 10/24/2016 |
| Last Update Date | 10/24/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043761182 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 007411 (Pennsylvania) | Primary |
Wellness Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: #5 San Carlos Ave, San Carlos, AZ 85550 Phone: 928-475-4875 Fax: 928-475-4880 | |
Wellness Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 San Carlos Boulevard, San Carlos, AZ 85550 Phone: 928-475-4875 Fax: 928-475-4880 | |
San Carlos Social Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: San Carlos Social Services, 7 San Carlos Avenue, San Carlos, AZ 85550 Phone: 928-475-2313 Fax: 928-475-2342 |