SAN CARLOS APACHE WELLNESS CENTER NPI 1821218801

NPI Information

NPI: 1821218801
Provider Name: SAN CARLOS APACHE WELLNESS CENTER

Other Name: WELLNESS CENTER

Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
5 SAN CARLOS BOULEVARD
SAN CARLOS, AZ
ZIP 85550
Phone: (928) 475-4875
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SAN CARLOS APACHE WELLNESS CENTER is a professional counselor in San Carlos, AZ. SAN CARLOS APACHE WELLNESS CENTER NPI is 1821218801. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Wellness Center.

The provider's business location address is:

5 SAN CARLOS BOULEVARD
SAN CARLOS, AZ
ZIP 85550
Phone: (928) 475-4875
Fax: (928) 475-4880

The provider's authorized official is Ahmad Reza Djangi .
The authorized official title is Director and has the following contact phone number (928) 475-4875.

The enumeration date for this NPI number is 5/1/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional		ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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