| Equine Spirit Programs | |
|
17016 E San Tan Blvd Queen Creek AZ 85142-8049 | |
| (480) 299-2506 | |
| Not Available |
| Full Name | Equine Spirit Programs |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 17016 E San Tan Blvd, Queen Creek, Arizona |
| Authorized Official Name and Position | Julie Rose Jimenez (PROGRAM/GRANT MANAGER) |
| Authorized Official Contact | 4802992506 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Equine Spirit Programs 17016 E San Tan Blvd Queen Creek AZ 85142-8049 Ph: (480) 299-2506 | Equine Spirit Programs 17016 E San Tan Blvd Queen Creek AZ 85142-8049 Ph: (480) 299-2506 |
| NPI Number | 1619420502 |
|---|---|
| Provider Enumeration Date | 07/27/2016 |
| Last Update Date | 07/27/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619420502 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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