Organization
PARKER INDIAN HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY TAYLOR (CHIEF EXECUTIVE OFFICER)
(928) 669-3110
Entity
Organization
Contact information
Practice address
12033 AGENCY RD, PARKER, AZ 85344-7718
(928) 669-2137
(928) 669-5860
Mailing address
12033 AGENCY RD, PARKER, AZ 85344-7718
(928) 669-2137
(928) 669-5860
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
L1353
OR
Other
Enumeration date
12/18/2006
Last updated
08/22/2020
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