| Organization Name: | NAZCARE, INC - AMBITION WELLNESS CENTER |
| NPI Number: | 1144665092 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERTA LYNNE HOWARD (CHIEF EXECUTIVE OFFICER) |
| Mailing Address: | 619 W Desmond St Winslow |
| State: | AZ US |
| Postal Code: | 860472423 |
| Phone Number: | 9284429205 |
| Fax Number: | 6025353230 |
| NPI Enumeration Date: | 05/06/2013 |
| NPI Last Update Date: | 05/16/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |