Organization
DOUGLAS ARC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY J CLARK (EXECUTIVE DIRECTOR)
(520) 364-7473
Entity
Organization
Contact information
Practice address
610 9TH STREET, DOUGLAS, AZ 85607
(520) 364-7473
(520) 364-2236
Mailing address
PO BOX 252, DOUGLAS, AZ 85608
(520) 364-7473
(520) 364-2236
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
704933
AHCCCS
AZ
01
—
CSA06ADHS0046
AZ BEHAVIORAL HEALTH SERV
AZ
Enumeration date
09/19/2006
Last updated
08/21/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us