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109 E 2nd St Casa Grande AZ 85122-5212 | |
| (305) 720-9249 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 109 E 2nd St, Casa Grande, Arizona |
| Authorized Official Name and Position | Brooke Anne Keith (EXECUTIVE) |
| Authorized Official Contact | 3057209249 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1340 S 4th Ave Yuma AZ 85364-4626 Ph: (602) 369-0075 | 109 E 2nd St Casa Grande AZ 85122-5212 Ph: (305) 720-9249 |
| NPI Number | 1417345273 |
|---|---|
| Provider Enumeration Date | 01/02/2015 |
| Last Update Date | 06/07/2024 |
| Certification Date | 06/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417345273 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Arizona) | Primary |
Intermountain Health Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1821 N. Trekell Road, Suite 1, Casa Grande, AZ 85122 Phone: 520-426-4289 Fax: 520-421-0792 | |
Higher Heights Human Services Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 615 W Cottonwood Ln Ste 5-6, Casa Grande, AZ 85122 Phone: 702-772-5488 | |
Horizon Human Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 865 N. Arizola Rd, Casa Grande, AZ 85222 Phone: 520-421-2543 Fax: 520-421-1032 | |