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Hwy 254 - 1 Mile Se From Chapter House Westside - Pink Bldg/gray Top St. Michaels AZ 86511 | |
(928) 810-3707 | |
(928) 810-3713 |
Full Name | |
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Speciality | Clinic/center - Adolescent And Children Mental Health |
Location | Hwy 254 - 1 Mile Se From Chapter House, St. Michaels, Arizona |
Authorized Official Name and Position | Brooke E Balch (CFO OF THREE SPRINGS, INC.) |
Authorized Official Contact | 2568803339 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 1093 St Michaels AZ 86511-1093 Ph: (928) 674-3818 | Hwy 254 - 1 Mile Se From Chapter House Westside - Pink Bldg/gray Top St. Michaels AZ 86511 Ph: (928) 810-3707 |
NPI Number | 1326125402 |
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Provider Enumeration Date | 11/01/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1326125402 | NPI | - | NPPES |
688640 | Medicaid | AZ |