# DHEW IND HLTH SV HLTH SVS & MNTL HLTH ADM

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DHEW IND HLTH SV HLTH SVS & MNTL HLTH ADM
- **Other names:** San Lucy Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1962949008
- **Legal business name:** DHEW IND HLTH SV HLTH SVS & MNTL HLTH ADM
- **Authorized official:** MISS DEANNA J. DICK MSW,. MHA ((CEO) CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (602) 263-1567

## Contact information

- **Practice address:** 1216 N. 307TH AVENUE, SAN LUCY CLINIC, GILA BEND, AZ 85337
- **Practice address phone:** (928) 683-2913
- **Practice address fax:** (928) 683-2008
- **Mailing address:** SAN LUCY CLINIC, P.O.BOX 31001-0698, PASADENA, CA 91110-0698
- **Mailing address phone:** (602) 263-1200
- **Mailing address fax:** (602) 263-1618

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 01/27/2017
- **Last updated:** 06/19/2019