San Carlos Apache Wellness Center
NPI #1821218801 in San Carlos, Arizona
Provider Information
- NPI Number
- 1821218801
- Entity Type
- Organization
- Organization Name
- San Carlos Apache Wellness Center
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- May 1, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 5 SAN CARLOS BOULEVARD
- City
- San Carlos
- State
- Arizona
- ZIP Code
- 85550
- Phone
- (928) 475-4875
Authorized Official
- Name
- DR. AHMAD REZA DJANGI, PSY.D.
- Title
- DIRECTOR
- Phone
- (928) 475-4875
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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