Organization
AMERICAN INDIAN PREVENTION COALITION
Active
Other names
NDNS4Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
BONNY BEACH (EXECUTIVE DIRECTOR)
(602) 424-1600
Entity
Organization
Contact information
Practice address
4197 E SHELTON RD, WILLCOX, AZ 85643-4806
(602) 424-1600
Mailing address
PO BOX 25047, PHOENIX, AZ 85002-5047
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
189011
—
AZ
Enumeration date
04/12/2007
Last updated
08/22/2020
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