Organization
THE EXCEL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROL A. CARR (CEO)
(928) 341-0335
Entity
Organization
Contact information
Practice address
679 N FIRST AVE, SAN LUIS, AZ 85349-2837
(928) 627-0242
(928) 627-8248
Mailing address
3250A E 40TH ST, YUMA, AZ 85365-7748
(928) 341-0335
(928) 539-7099
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
BH-1673
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
470344
—
AZ
Enumeration date
10/16/2006
Last updated
10/15/2007
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