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Organization
CIMMARON ASH BEHAVIORAL HEALTHCARE
Active
Organization
CIMMARON ASH BEHAVIORAL HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIYANA V BRUTUS PMHNP (OWNER/MEDICAL DIRECTOR)
(480) 694-2574
Entity
Organization
Contact information
Practice address
719 E COTTONWOOD LN, CASA GRANDE, AZ 85122-2700
(520) 858-0261
(520) 858-0260
Mailing address
719 E COTTONWOOD LN, CASA GRANDE, AZ 85122-2700
(520) 858-0261
(520) 858-0260
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/12/2010
Last updated
04/14/2010
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