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Organization
SCL COLLEGE OF NURSING
Active
Organization
SCL COLLEGE OF NURSING
Active
Other names
Camelback Kids
Organization subpart
No
Provider details
NPI number
Authorized official
ELANGE NATHAN DR. (CEO)
(480) 215-9056
Entity
Organization
Contact information
Practice address
7517 W SHUMWAY FARM RD, LAVEEN, AZ 85339-7089
(480) 215-9056
Mailing address
7517 W SHUMWAY FARM RD, LAVEEN, AZ 85339-7089
(602) 855-0002
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
12/02/2021
Last updated
05/15/2025
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