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548 W Fry Blvd Sierra Vista AZ 85635-1737 | |
| (520) 452-0080 | |
| (520) 452-0090 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 548 W Fry Blvd, Sierra Vista, Arizona |
| Authorized Official Name and Position | Deanna Bellinger (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5204520080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 2648 Sierra Vista AZ 85636-2648 Ph: (520) 452-0080 | 548 W Fry Blvd Sierra Vista AZ 85635-1737 Ph: (520) 452-0080 |
| NPI Number | 1568848307 |
|---|---|
| Provider Enumeration Date | 08/04/2015 |
| Last Update Date | 08/04/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568848307 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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