The Excel Group | |
28671 Los Angeles Avenue Wellton AZ 85356-0179 | |
(928) 785-9426 | |
(928) 785-9462 |
Full Name | The Excel Group |
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Speciality | Community/behavioral Health |
Location | 28671 Los Angeles Avenue, Wellton, Arizona |
Authorized Official Name and Position | Caron A. Carr (CEO) |
Authorized Official Contact | 9283410335 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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The Excel Group 3250a E 40th St Yuma AZ 85365-7748 Ph: (928) 341-0335 | The Excel Group 28671 Los Angeles Avenue Wellton AZ 85356-0179 Ph: (928) 785-9426 |
NPI Number | 1952481814 |
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Provider Enumeration Date | 10/16/2006 |
Last Update Date | 10/15/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952481814 | NPI | - | NPPES |
707185 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | BH-2037 (Arizona) | Primary |