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Organization

SPECTRUM HEALTHCARE GROUP, INC

Active
Other names
Verde Valley Guidance Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
CORINNE BAILEY (CREDENTIALING SPECIALIST)
(928) 634-2236
Entity
Organization

Contact information

Practice address
3633 CROSSINGS DRIVE, PRESCOTT, AZ 86305-7101
(928) 634-2236
(928) 634-8960
Mailing address
8 EAST COTTONWOOD STREET, COTTONWOOD, AZ 86326-6237
(928) 634-2236
(928) 634-8960

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
2084P0800X
Psychiatry Physician
Primary
2084P0802X
Addiction Psychiatry Physician
2084P0805X
Geriatric Psychiatry Physician
363LP0808X
Psychiatric/Mental Health Nurse Practitioner

Other

Enumeration date
11/22/2017
Last updated
03/09/2020
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