San Carlos Apache Wellness Center
NPI #1043761182 in San Carlos, Arizona
Provider Information
- NPI Number
- 1043761182
- Entity Type
- Organization
- Organization Name
- San Carlos Apache Wellness Center
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Oct 24, 2016
- Last Updated
- Oct 24, 2016
Practice Location
- Address
- 5 SAN CARLOS AVE
- City
- San Carlos
- State
- Arizona
- ZIP Code
- 85550
- Phone
- (928) 475-4875
Authorized Official
- Name
- MR. JOSEPH MARVIN SIMMONS JR., LPC
- Title
- CHILD SERVICES CLINICAL COORDINATOR
- Phone
- (928) 475-4875
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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