Organization
THE EXCEL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DENISE ANN ROUBA PMHNP (PMHNP/PNP)
(928) 341-0409
Entity
Organization
Contact information
Practice address
106 E 1ST ST, YUMA, AZ 85364-1450
(928) 341-0409
(928) 329-8950
Mailing address
106 EAST FIRST STREET, YUMA, AZ 85364-1450
(928) 341-0409
(928) 329-8950
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
Primary
F401029-1
NY
Other
Enumeration date
04/24/2008
Last updated
04/24/2008
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