Usa Meddac, Rwbach in Fort Huachuca - Rehabilitation, Substance Use Disorder

Usa Meddac, Rwbach - NPI 1881779353

Usa Meddac, Rwbach is a Rehabilitation, Substance Use Disorder in Fort Huachuca, Arizona. Usa Meddac, Rwbach practices all healthcare services and medical treatments related to Rehabilitation, Substance Use Disorder. The NPI Number for Usa Meddac, Rwbach is 1881779353. The last update date is 2007-07-19.

Usa Meddac, Rwbach's current location address is 2240 Winrow Ave, Fort Huachuca, Arizona. You can contact this provider via phone number 5205332071. The mailing address for Usa Meddac, Rwbach is 2240 Winrow Ave, Fort Huachuca, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Organization Usa Meddac, Rwbach
Address 2240 Winrow Ave, Fort Huachuca, Arizona
Phone Number 5205332071
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CLINICAL D
Authorized Official Name Bubala A Joseph
Credentials LCSW, LISA
Telephone Number 5205332071

NPI Number Detail

NPI Number 1881779353
Provider Enumeration Date 2006-10-25
Last Updated Date 2007-07-19

Provider Mailing Address Detail

Address 2240 Winrow Ave
City Fort Huachuca
State Arizona (AZ)
Post Code 85613
Phone Number 5205332071
Fax Number

Provider's Primary Taxonomy Detail

Speciality Rehabilitation, Substance Use Disorder
Taxonomy 261Qr0405X
Licence No LISAC 1029
Definition:
Provides therapeutic interventions to treat alcohol and drug addiction.

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FAQs about Usa Meddac, Rwbach

What is the unique 10-digit identifier code issued to Usa Meddac, Rwbach by the Centers for Medicare & Medicaid Services?

The Usa Meddac, Rwbach has been assigned the NPI (National Provider Identifier) 1881779353 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Usa Meddac, Rwbach is located?

The Usa Meddac, Rwbach is situated at the following address: 2240 Winrow Ave, Fort Huachuca, AZ, 85613.

What is the Usa Meddac, Rwbach's specialty and taxonomy code?

The Usa Meddac, Rwbach's specialty is Rehabilitation, Substance Use Disorder, and the corresponding taxonomy code is 261Qr0405X.

When did the Usa Meddac, Rwbach receive its 1881779353?

The Usa Meddac, Rwbach was issued its 1881779353 on 2006-10-25, which is the date when the organization was assigned this unique identifier.

As of what date were the Usa Meddac, Rwbach's details last updated?

The information pertaining to the Usa Meddac, Rwbach, including its address, specialty, and other details, was most recently updated on 2007-07-19.

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