Organization
BOYS & GIRLS CLUB OF BISBEE,AZ,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANNETTE RENTERIA (EXECUTIVE DIRECTOR)
(520) 432-3010
Entity
Organization
Contact information
Practice address
405 ARIZONA ST, BISBEE, AZ 85603-1503
(520) 432-3010
(520) 432-6903
Mailing address
405 ARIZONA ST, BISBEE, AZ 85603
(520) 432-3010
(520) 432-6903
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/14/2006
Last updated
08/22/2020
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