Organization
CHIRICAHUA COMMUNITY HEALTH CENTERS, INC
Active
Other names
Sierra Vista Behavioral Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL ABRAM DRISCOLL MD (AUTHORIZED OFFICIAL)
(520) 459-3011
Entity
Organization
Contact information
Practice address
77 CALLE PORTAL STE C240, SIERRA VISTA, AZ 85635-2986
(520) 515-8669
Mailing address
1100 N F AVE, DOUGLAS, AZ 85607-1919
(520) 459-3012
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
12/09/2022
Last updated
12/09/2022
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