Yuma Treatment Center Llc | |
1290 W 8th Place Yuma Treatment Center Yuma AZ 85364 | |
(928) 344-4310 | |
(928) 344-4366 |
Full Name | Yuma Treatment Center Llc |
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Speciality | Community/behavioral Health |
Location | 1290 W 8th Place, Yuma, Arizona |
Authorized Official Name and Position | Debi Mckinney (REGIONAL COORDINATOR) |
Authorized Official Contact | 6029960105 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Yuma Treatment Center Llc 19401 N Cave Creek Road #18 Administrative Office Phoenix AZ 85024-1825 Ph: (602) 996-0105 | Yuma Treatment Center Llc 1290 W 8th Place Yuma Treatment Center Yuma AZ 85364 Ph: (928) 344-4310 |
NPI Number | 1417033630 |
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Provider Enumeration Date | 10/31/2006 |
Last Update Date | 03/07/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417033630 | NPI | - | NPPES |
AZ10066M | Other | AZ | FDA |
872128 | Other | AZ | AHCCCS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | BH2472 (Arizona) | Primary |
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