Organization
YUMA TREATMENT CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBI MCKINNEY (REGIONAL COORDINATOR)
(602) 996-0105
Entity
Organization
Contact information
Practice address
1290 W 8TH PLACE, YUMA TREATMENT CENTER, YUMA, AZ 85364
(928) 344-4310
(928) 344-4366
Mailing address
19401 N CAVE CREEK ROAD, #18 ADMINISTRATIVE OFFICE, PHOENIX, AZ 85024-1825
(602) 996-0105
(602) 996-1915
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
BH2472
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
872128
AHCCCS
AZ
01
—
AZ10066M
FDA
AZ
Enumeration date
10/31/2006
Last updated
03/07/2023
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