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9405 S Avenida Del Yaqui Guadalupe AZ 85283-2529 | |
| (480) 768-2057 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9405 S Avenida Del Yaqui, Guadalupe, Arizona |
| Authorized Official Name and Position | Reuben T. Howard (EXECUTIVE HEALTH DIRECTOR) |
| Authorized Official Contact | 5208796060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
9405 S Avenida Del Yaqui Guadalupe AZ 85283-2529 Ph: (480) 768-2057 | 9405 S Avenida Del Yaqui Guadalupe AZ 85283-2529 Ph: (480) 768-2057 |
| NPI Number | 1205080637 |
|---|---|
| Provider Enumeration Date | 11/12/2008 |
| Last Update Date | 04/29/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205080637 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2283 (Arizona) | Primary |
Centro De Amistad, Incorprorado Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8202 S Avenida Del Yaqui, Guadalupe, AZ 85283 Phone: 480-839-2926 Fax: 480-839-9985 | |
Pascua Yaqui Tribe Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9405 S Avenida Del Yaqui, Guadalupe, AZ 85283 Phone: 480-768-2000 Fax: 480-768-2053 | |