The Ivy Foundation | |
675 N Butler St Eagar AZ 85925 | |
(928) 551-7342 | |
Not Available |
Full Name | The Ivy Foundation |
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Speciality | Community/behavioral Health |
Location | 675 N Butler St, Eagar, Arizona |
Authorized Official Name and Position | Adrian Marquez Duran (CEO/PRESIDENT) |
Authorized Official Contact | 9285517342 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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The Ivy Foundation 675 N Butler St Eagar AZ 85925 Ph: (928) 551-7342 | The Ivy Foundation 675 N Butler St Eagar AZ 85925 Ph: (928) 551-7342 |
NPI Number | 1740956267 |
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Provider Enumeration Date | 08/17/2021 |
Last Update Date | 09/03/2021 |
Certification Date | 09/03/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740956267 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Ez Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 910 S Burk St, Eagar, AZ 85925 Phone: 928-551-5269 |