NPI 1225027477

Main Street Diagnostic LLC

Organisation Psychiatric Hospital Cottonwood, AZ

Practice location

Address: 636 N Main St, Cottonwood, AZ 86326-3725
Phone: (928) 639-4440
Fax: (928) 639-3924

Authorised official

Name: Maria Carrillo
Title: Finance Coordinator
Phone: (928) 639-4440

Registered specialties

Psychiatric Hospital Primary

Hospitals Taxonomy 283Q00000X Licence BH-2492 (AZ)

Other Psychiatric Hospital providers in Arizona →

Registry record

NPI: 1225027477
Entity type: Organization
NPI issued: 20 Oct 2005
Record last updated: 22 Aug 2020

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.