| Rosewood Ranch | |
|
521 W Wickenburg Way Wickenburg AZ 85390-5200 | |
| (928) 684-8981 | |
| (928) 684-9562 |
| Full Name | Rosewood Ranch |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 521 W Wickenburg Way, Wickenburg, Arizona |
| Authorized Official Name and Position | Tyeast Reynolds (DIRECTOR OF RCM) |
| Authorized Official Contact | 6788130428 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rosewood Ranch 2300 Windy Ridge Pkwy Se Ste 210 Atlanta GA 30339-5665 Ph: (470) 440-1647 | Rosewood Ranch 521 W Wickenburg Way Wickenburg AZ 85390-5200 Ph: (928) 684-8981 |
| NPI Number | 1023239159 |
|---|---|
| Provider Enumeration Date | 05/02/2007 |
| Last Update Date | 04/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023239159 | NPI | - | NPPES |
| AZ0205580 | Other | AZ | BCBS OF AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | BH-2495 (Arizona) | Primary |
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