| Transformed of Arizona | |
|
7084 E Encampment Dr Prescott Valley AZ 86314-1905 | |
| (507) 251-0851 | |
| Not Available |
| Full Name | Transformed of Arizona |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 7084 E Encampment Dr, Prescott Valley, Arizona |
| Authorized Official Name and Position | Brian Beyst (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5072510851 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Transformed of Arizona 7084 E Encampment Dr Prescott Valley AZ 86314-1905 Ph: (507) 251-0851 | Transformed of Arizona 7084 E Encampment Dr Prescott Valley AZ 86314-1905 Ph: (507) 251-0851 |
| NPI Number | 1922574722 |
|---|---|
| Provider Enumeration Date | 10/18/2018 |
| Last Update Date | 10/18/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922574722 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | () | Primary |
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