| NPI | 1609959311 |
|---|---|
| Doing Business As | ARIZONA AVENUE CLINIC |
| Entity Type | Organization |
| Authorized Contact | CAROL A. CARR CEO 928-341-0335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ BH-2629) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2007-10-15 |