Organization
ADHD CLINICS OF ARIZONA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE PACKARD ED.D., PC (PARTNER)
(928) 773-7774
Entity
Organization
Contact information
Practice address
1016 W UNIVERSITY AVE, 202, FLAGSTAFF, AZ 86001-2994
(928) 773-7774
(928) 774-1148
Mailing address
1016 W UNIVERSITY AVE, 202, FLAGSTAFF, AZ 86001-2994
(928) 773-7774
(928) 774-1148
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
3125
AZ
Other
Enumeration date
08/26/2009
Last updated
08/26/2009
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