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Organization

SPECTRUM HEALTHCARE GROUP, INC.

Active
Parent organization
SPECTRUM HEALTHCARE GROUP, INC.
Organization subpart
Yes

Provider details

NPI number
Legal business name
SPECTRUM HEALTHCARE GROUP, INC.
Authorized official
CORINNE BAILEY (CREDENTIALING SPECIALIST)
(877) 634-7333
Entity
Organization

Contact information

Practice address
636 N MAIN ST STE A, COTTONWOOD, AZ 86326-3725
(877) 634-7333
(866) 984-3891
Mailing address
8 E COTTONWOOD ST, COTTONWOOD, AZ 86326-4382
(928) 634-2236
(928) 634-8960

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
1041C0700X
Clinical Social Worker
163W00000X
Registered Nurse
171M00000X
Case Manager/Care Coordinator
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
2084P0800X
Psychiatry Physician
208VP0000X
Pain Medicine Physician
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
363LP0808X
Psychiatric/Mental Health Nurse Practitioner

Other

Enumeration date
10/06/2020
Last updated
07/29/2024
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