Ccr Intergrated Health
NPI #1073908810 in Arizona City, Arizona
Provider Information
- NPI Number
- 1073908810
- Entity Type
- Organization
- Organization Name
- Ccr Intergrated Health
- Primary Specialty
- Community Based Residential Treatment Facility, Mental Illness
- Enumeration Date
- Mar 30, 2015
- Last Updated
- Mar 30, 2015
Practice Location
- Address
- 12268 W DELWOOD DRIVE
- Address 2
- 3699
- City
- Arizona City
- State
- Arizona
- ZIP Code
- 85123
- Phone
- (228) 383-1240
Authorized Official
- Name
- MR. CLARENCE VANARD BURTON
- Title
- DIRECTOR OF OPERATIONS
- Phone
- (228) 383-1240
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatric Residential Treatment Facility |
| Community Based Residential Treatment Facility, Mental Illness |
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