Organization · Type 2 NPI
San Carlos Wellness Center
Addiction (Substance Use Disorder) Counselor · Bylas, AZ
NPI number
1134255136
Active
Practice location
154 E. Hwy 70
Bylas, AZ 85530
Fax (928) 475-3453
Mailing address
5 San Carlos Boulevard
San Carlos, AZ 85550
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 10845 (AZ) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1134255136
San Carlos Wellness Center's National Provider Identifier is 1134255136, issued on Feb 26, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bylas, AZ. The record was last updated on Aug 22, 2020.