| Houck Restoration Center Llc | |
|
295 County Road 1.5 Mile Nw Houck Chapter House Houck AZ 86506 | |
| (928) 216-0098 | |
| Not Available |
| Full Name | Houck Restoration Center Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 295 County Road 1.5 Mile Nw Houck Chapter House, Houck, Arizona |
| Authorized Official Name and Position | Deann Tully (MEMBER) |
| Authorized Official Contact | 9282160098 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Houck Restoration Center Llc Po Box 1742 Sanders AZ 86512-1742 Ph: (928) 216-0098 | Houck Restoration Center Llc 295 County Road 1.5 Mile Nw Houck Chapter House Houck AZ 86506 Ph: (928) 216-0098 |
| NPI Number | 1760259915 |
|---|---|
| Provider Enumeration Date | 12/07/2023 |
| Last Update Date | 12/07/2023 |
| Certification Date | 12/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760259915 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |