Whalio Doctors

NPI 1043390990

The Excel Group

Organisation Community/Behavioral Health Agency San Luis, AZ

Practice location

Address
679 N First Ave, San Luis, AZ 85349-2837
Phone
(928) 627-0242
Fax
(928) 627-8248
Mailing address
3250a E 40th St, Yuma, AZ 85365-7748

Authorised official

Name
Carol A. Carr
Title
Ceo
Phone
(928) 341-0335

Registered specialties

Community/Behavioral Health Agency Primary
Agencies Taxonomy 251S00000X Licence BH-1673 (AZ)

Registry record

NPI
1043390990
Entity type
Organization
NPI issued
16 Oct 2006
Record last updated
15 Oct 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.