Organization
DHHS IHS PHOENIX AREA
Active
Other names
DESERT VISIONS YOUTH WELLNESS CENTE
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY ELLIOTT (CHIEF EXECUTIVE OFFICER)
(888) 431-4096
Entity
Organization
Contact information
Practice address
198 S SKILL CENTER RD, SACATON, AZ 85247
(888) 431-4096
Mailing address
PO BOX 458, SACATON, AZ 85147-0008
(888) 431-4096
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
12/16/2011
Last updated
12/16/2011
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