Organization
DHEW IND HLTH SV HLTH SVS & MNTL HLTH ADM
Active
Parent organization
DHEW IND HLTH SV HLTH SVS & MNTL HLTH ADM
Other names
San Lucy Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
DHEW IND HLTH SV HLTH SVS & MNTL HLTH ADM
Authorized official
MISS DEANNA J. DICK MSW,. MHA ((CEO) CHIEF EXECUTIVE OFFICER)
(602) 263-1567
Entity
Organization
Contact information
Practice address
1216 N. 307TH AVENUE, SAN LUCY CLINIC, GILA BEND, AZ 85337
(928) 683-2913
(928) 683-2008
Mailing address
SAN LUCY CLINIC, P.O.BOX 31001-0698, PASADENA, CA 91110-0698
(602) 263-1200
(602) 263-1618
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
01/27/2017
Last updated
06/19/2019
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