Boys & Girls Club of Bisbee,az,inc

NPI #1982709770 in Bisbee, Arizona

Provider Information

NPI Number: 1982709770
Entity Type: Organization
Organization Name: Boys & Girls Club of Bisbee,az,inc
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Sep 14, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 405 ARIZONA ST
City: Bisbee
State: Arizona
ZIP Code: 85603-1503
Phone: (520) 432-3010

Authorized Official

Name: MS. ANNETTE RENTERIA
Title: EXECUTIVE DIRECTOR
Phone: (520) 432-3010

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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