# NAZCARE, INC - AMBITION WELLNESS CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144665092
- **Authorized official:** MS. ROBERTA LYNNE HOWARD (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (928) 442-9205

## Contact information

- **Practice address:** 619 W DESMOND ST, WINSLOW, AZ 86047-2423
- **Practice address phone:** (928) 442-9205
- **Practice address fax:** (602) 535-3230
- **Mailing address:** 599 WHITE SPAR RD, PRESCOTT, AZ 86303-4627
- **Mailing address phone:** (928) 442-9505
- **Mailing address fax:** (602) 535-3230

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 05/06/2013
- **Last updated:** 05/16/2013
