CARELOCK LLC NPI 1972170322

NPI Information

CARELOCK, LLC is a mental health (including community mental health center) clinic center in Mayer, AZ. CARELOCK, LLC NPI is 1972170322. The provider is registered as an organization entity type.
The provider Other Name Is Cordes Lakes Clinic.

The provider's business location address is:

20172 E STAGECOACH TRL
MAYER, AZ
ZIP 86333-357
Phone: (928) 632-4399

The provider's authorized official is John S. Gilliam .
The authorized official title is Medical Director and has the following contact phone number (480) 681-3450.

The CLIA number assigned to this NPI record is 03D2174321 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/4/2021 and was last updated on 9/28/2021.

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:

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