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Organization
THE WICK HOME FOR EMOTIONAL GROWTH AND RECOVERY
Active
Organization
THE WICK HOME FOR EMOTIONAL GROWTH AND RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TODD ROSENBLATT M.ED (PROGRAM DIRECTOR)
(928) 639-9425
Entity
Organization
Contact information
Practice address
2102 E FIR ST, COTTONWOOD, AZ 86326
(928) 639-9425
(928) 639-1484
Mailing address
2102 E FIR ST, COTTONWOOD, AZ 86326
(928) 639-9425
(928) 639-1484
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/14/2007
Last updated
11/14/2007
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