Organization
THE EXCEL GROUP
Active
Other names
Casa de Esperanza Group Home
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROL A. CARR VIII (CEO)
(928) 341-0335
Entity
Organization
Contact information
Practice address
3180 E 40TH ST, YUMA, AZ 85365-7772
(928) 341-0335
(928) 344-9120
Mailing address
3250A E 40TH ST, YUMA, AZ 85365-7748
(928) 641-0335
(928) 539-7099
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
BH-1554
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
437443
—
AZ
Enumeration date
10/25/2006
Last updated
10/15/2007
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