| The Excel Group | |
|
730 W Cowell St Quartzsite AZ 85346-4104 | |
| (928) 927-3835 | |
| (928) 927-3836 |
| Full Name | The Excel Group |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 730 W Cowell St, Quartzsite, Arizona |
| Authorized Official Name and Position | Carol A. Carr (CEO) |
| Authorized Official Contact | 9283410335 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Excel Group 3250a E 40th St Yuma AZ 85365-7748 Ph: (928) 341-0335 | The Excel Group 730 W Cowell St Quartzsite AZ 85346-4104 Ph: (928) 927-3835 |
| NPI Number | 1003996968 |
|---|---|
| Provider Enumeration Date | 10/16/2006 |
| Last Update Date | 10/16/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003996968 | NPI | - | NPPES |
| 733560 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | BH-2055 (Arizona) | Primary |