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
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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