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Organization

WESTCARE ARIZONA I, INC.

Active
Other names
Sage House
Organization subpart
No

Provider details

NPI number
Authorized official
MS. TRACY STEVENS MA (AREA DIRECTOR)
(928) 763-1945
Entity
Organization

Contact information

Practice address
1800 RIO VISTA DR, BULLHEAD CITY, AZ 86442-7229
(928) 758-0603
(928) 758-0609
Mailing address
821 HANCOCK RD STE 2, BULLHEAD CITY, AZ 86442-5034
(928) 763-1945
(928) 763-5157

Taxonomy

Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
BH-3423
AZ

Other

Enumeration date
11/04/2009
Last updated
11/04/2009
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