Organization
THE EXCEL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROL A. CARR (CEO)
(928) 341-0335
Entity
Organization
Contact information
Practice address
1021 S KOFA AVE, PARKER, AZ 85344-5021
(928) 669-6669
(928) 669-6673
Mailing address
3250A E 40TH ST, YUMA, AZ 85365-7748
(928) 341-0335
(692) 853-9709
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
BH-1240
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
153932
—
AZ
Enumeration date
10/20/2006
Last updated
10/16/2007
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