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Innercore Transformation
Adolescent and Children Mental Health Clinic/Center in Snowflake, Arizona
NPI 1982454377

Innercore Transformation is an Adolescent and Children Mental Health Clinic/Center based in Snowflake, AZ and is specialized in Adolescent and Children Mental Health. Innercore Transformation practices in Snowflake, AZ. The NPI Number for Innercore Transformation is 1982454377 and holds a License No. (Arizona).

The current practice location address for Innercore Transformation is 1403 Lobo Trl, Snowflake, AZ and can be reached out via phone at 190-777-5874 and via fax at 888-265-5270.

Location: 1403 Lobo Trl, Snowflake, AZ, 85937-5465
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1982454377
Provider Name
Innercore Transformation
Credential
Provider Entity Type
Organization
Address
1403 Lobo Trl, Snowflake, AZ, 85937-5465
Phone Number
190-777-5874
Fax Number
888-265-5270
Provider Enumeration Date
03/26/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
1403 Lobo Trl
City
Snowflake
State
Arizona
Zip
85937-5465
Phone Number
190-777-5874
Fax Number
888-265-5270
person
Provider Business Mailing Address Details
Address
1403 Lobo Trl
City
Snowflake
State
Arizona
Zip
85937-5465
Phone Number
190-777-5874
Fax Number
888-265-5270
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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