San Carlos Apache Tribe

NPI #1750456307 in San Carlos, Arizona

Provider Information

NPI Number
1750456307
Entity Type
Organization
Organization Name
San Carlos Apache Tribe
Subpart
Yes (part of a larger organization)
Parent Organization
SAN CARLOS APACHE TRIBE
Primary Specialty
Community/Behavioral Health
Enumeration Date
Nov 21, 2006
Last Updated
Jul 1, 2009

Practice Location

Address
#5 SAN CARLOS AVE
State
Arizona
ZIP Code
85550-9999
Phone
(928) 475-4875

Authorized Official

Name
MR. WENDSLER A NOSIE SR.
Title
TRIBAL CHAIRMAN
Phone
(928) 475-2361

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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