Organization
NEW DIRECTIONS INTEGRATIVE WELLNESS CENTER OF WICKENBURG, ARIZONA, PLL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMANDA RAE COBURN MSED (CHIEF OFFICE ADMINISTRATOR)
(716) 307-5969
Entity
Organization
Contact information
Practice address
370 PALM DRIVE, WICKENBURG, AZ 85390
(928) 220-8216
(716) 408-1100
Mailing address
370 PALM DRIVE, WICKENBURG, AZ 85390
(928) 220-8216
(716) 408-1100
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
AP4081
AZ
Other
Enumeration date
08/01/2011
Last updated
08/01/2011
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