Organization
SPECTRUM HEALTHCARE GROUP, INC.
Active
Parent organization
VERDE VALLEY GUIDANCE CLINIC INC
Other names
Verde Valley Guidance Clinic, Inc.
Organization subpart
Yes
Provider details
NPI number
Legal business name
VERDE VALLEY GUIDANCE CLINIC INC
Authorized official
CORINNE BAILEY (CREDENTIALING SPECIALIST)
(928) 634-2236
Entity
Organization
Contact information
Practice address
8 E COTTONWOOD ST, COTTONWOOD, AZ 86326-4382
(928) 634-2236
(928) 634-8960
Mailing address
2880 HOPI DRIVE, SEDONA, AZ 86336
(928) 634-2236
(928) 634-8960
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
BH-217
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144577
—
AZ
Enumeration date
10/25/2006
Last updated
03/09/2020
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