Organization
ACADIA HEALTHCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERI LYNN BROCK DC (PRESIDENT)
(928) 530-4546
Entity
Organization
Contact information
Practice address
2699 E ANDY DEVINE, SUITE B, KINGMAN, AZ 86401
(928) 753-7107
Mailing address
410 RIATA VALLEY RD, KINGMAN, AZ 86409-2976
(928) 530-4546
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP7850
AZ
Other
Enumeration date
11/30/2016
Last updated
11/30/2016
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