Organization
HOUCK RESTORATION CENTER LLC
Active
Other names
Houck Restoration Center LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DEANN TULLY (MEMBER)
(928) 216-0098
Entity
Organization
Contact information
Practice address
295 COUNTY ROAD 1.5 MILE NW HOUCK CHAPTER HOUSE, HOUCK, AZ 86506
(928) 216-0098
Mailing address
PO BOX 1742, SANDERS, AZ 86512-1742
(928) 216-0098
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/07/2023
Last updated
12/07/2023
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