Organization
SAN CARLOS WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AHMAD DJANGI PSYD (PROGRAM MANAGER)
(928) 475-4875
Entity
Organization
Contact information
Practice address
154 E. HWY 70, BYLAS, AZ 85530
(928) 475-3450
(928) 475-3453
Mailing address
5 SAN CARLOS BOULEVARD, SAN CARLOS, AZ 85550
(928) 478-4875
(928) 475-4880
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10845
AZ
Other
Enumeration date
02/26/2007
Last updated
08/22/2020
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