| Organization Name: | ROSEWOOD RANCH |
| NPI Number: | 1023239159 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JEAN ANN DOCKERY (DIRECTOR OF PATIENT ACCOUNTS) |
| Mailing Address: | 521 W Wickenburg Way Wickenburg |
| State: | AZ US |
| Postal Code: | 853905200 |
| Phone Number: | 9286848981 |
| Fax Number: | 9286849562 |
| NPI Enumeration Date: | 05/02/2007 |
| NPI Last Update Date: | 11/10/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | BH-2495 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |