Magellan Health Services of Arizona, Inc.

NPI #1740304054 in Wickenburg, Arizona

Provider Information

NPI Number: 1740304054
Entity Type: Organization
Organization Name: Magellan Health Services of Arizona, Inc.
Primary Specialty: Case Management
Enumeration Date: Mar 19, 2007
Last Updated: Oct 15, 2007

Practice Location

Address: 634 W WICKENBURG WAY
Address 2: #D
City: Wickenburg
State: Arizona
ZIP Code: 85390-2268
Phone: (928) 684-5131

Authorized Official

Name: DR. CHRIS ADAIR CARSON, MD
Title: CHIEF EXECUTIVE OFFICER
Phone: (602) 797-8333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X	Primary

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