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Organization

AMERICAN INDIAN PREVENTION COALTION

Active
Other names
NDNS4Wellness
Organization subpart
No

Provider details

NPI number
Authorized official
BONNY BEACH (CEO)
(602) 424-1600
Entity
Organization

Contact information

Practice address
4520 N CENTRAL AVE STE 130, PHOENIX, AZ 85012-1804
(602) 424-1600
(602) 532-7202
Mailing address
PO BOX 25047, PHOENIX, AZ 85002-5047
(602) 424-1600
(602) 532-7202

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
BH-3105
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
790255
AZ
Enumeration date
04/17/2007
Last updated
06/25/2010
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