| San Carlos Apache Wellness Center | |
|
5 San Carlos Boulevard San Carlos AZ 85550 | |
| (928) 475-4875 | |
| (928) 475-4880 |
| Full Name | San Carlos Apache Wellness Center |
|---|---|
| Speciality | Counselor - Professional |
| Location | 5 San Carlos Boulevard, San Carlos, Arizona |
| Authorized Official Name and Position | Ahmad Reza Djangi (DIRECTOR) |
| Authorized Official Contact | 9284754875 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Carlos Apache Wellness Center 5 San Carlos Boulevard San Carlos AZ 85550 Ph: (928) 475-4875 | San Carlos Apache Wellness Center 5 San Carlos Boulevard San Carlos AZ 85550 Ph: (928) 475-4875 |
| NPI Number | 1821218801 |
|---|---|
| Provider Enumeration Date | 05/01/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821218801 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (Illinois) | Primary |
San Carlos Apache Wellness Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 San Carlos Ave, San Carlos, AZ 85550 Phone: 928-475-4875 | |
San Carlos Apache Tribe Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: #5 San Carlos Ave, San Carlos, AZ 85550 Phone: 928-475-4875 Fax: 928-475-4880 | |
San Carlos Apache Tribe Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: San Carlos Social Services, 7 San Carlos Avenue, San Carlos, AZ 85550 Phone: 928-475-2313 Fax: 928-475-2342 |