Organization
SEQUELCARE OF ARIZONA
Active
Organization
SEQUELCARE OF ARIZONA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY RAZO (EXECUTIVE DIRECTOR)
(928) 777-3280
Entity
Organization
Contact information
Practice address
8800 MARYS DRIVE, FLAGSTAFF, AZ 86004
(928) 526-0997
(928) 525-1151
Mailing address
3170 STILLWATER DRIVE, PRESCOTT, AZ 86305
(928) 777-3280
(928) 717-1660
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
BH-3195
AZ
Other
Enumeration date
02/22/2018
Last updated
02/22/2018
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