Organization
SAGE MEMORIAL HOSPITAL BEHAVIORAL HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANDREA CURLEY (MEDICAL STAFF CREDENTIALIST)
(928) 755-4500
Entity
Organization
Contact information
Practice address
US 191 & AZ 264, SALSBURY HALL SAGE MEMORIAL HOSPITAL CAMPUS, GANADO, AZ 86505
(928) 755-4500
(928) 755-4934
Mailing address
PO BOX 457, GANADO, AZ 86505-0457
(928) 755-4500
(928) 755-4747
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
13084
AZ
101Y00000X
Counselor
5168T
AZ
104100000X
Social Worker
11643
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
942757
—
AZ
Enumeration date
03/04/2008
Last updated
11/14/2024
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