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Organization

MAGELLAN HEALTH SERVICES OF ARIZONA, INC

Active
Other names
Maricopa Clinic Saquaro
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RICHARD T. CLARKE (CHIEF EXECUTIVE OFFICER)
(602) 797-8345
Entity
Organization

Contact information

Practice address
3227 E BELL RD, SUITE 170, PHOENIX, AZ 85032-2700
(602) 273-2300
Mailing address
4129 E VAN BUREN ST, SUITE 250, PHOENIX, AZ 85008-6939
(602) 273-2300

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
BH3310
AZ

Other

Enumeration date
03/30/2009
Last updated
03/30/2009
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