Douglas Arc

NPI #1760589204 in Douglas, Arizona

Provider Information

NPI Number: 1760589204
Entity Type: Organization
Organization Name: Douglas Arc
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Sep 19, 2006
Last Updated: Aug 21, 2007

Practice Location

Address: 610 9TH STREET
City: Douglas
State: Arizona
ZIP Code: 85607
Phone: (520) 364-7473

Authorized Official

Name: MR. GARY J CLARK
Title: EXECUTIVE DIRECTOR
Phone: (520) 364-7473

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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