The Excel Group | |
730 W Cowell St Quartzsite AZ 85346-4104 | |
(928) 927-3835 | |
(928) 927-3836 |
Full Name | The Excel Group |
---|---|
Speciality | Community/behavioral Health |
Location | 730 W Cowell St, Quartzsite, Arizona |
Authorized Official Name and Position | Carol A. Carr (CEO) |
Authorized Official Contact | 9283410335 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
The Excel Group 3250a E 40th St Yuma AZ 85365-7748 Ph: (928) 341-0335 | The Excel Group 730 W Cowell St Quartzsite AZ 85346-4104 Ph: (928) 927-3835 |
NPI Number | 1003996968 |
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Provider Enumeration Date | 10/16/2006 |
Last Update Date | 10/16/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003996968 | NPI | - | NPPES |
733560 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | BH-2055 (Arizona) | Primary |