Provider Demographics
NPI:1528415650
Name:NAZCARE, INC. - EATON CENTER FOR JOYFUL HEALTH
Entity Type:Organization
Organization Name:NAZCARE, INC. - EATON CENTER FOR JOYFUL HEALTH
Other - Org Name:EATON CENTER FOR JOYFUL HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GREG
Authorized Official - Middle Name:
Authorized Official - Last Name:BILLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:928-442-9205
Mailing Address - Street 1:599 WHITE SPAR RD
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT
Mailing Address - State:AZ
Mailing Address - Zip Code:86303-4627
Mailing Address - Country:US
Mailing Address - Phone:928-442-9205
Mailing Address - Fax:602-535-3230
Practice Address - Street 1:8128 E STATE ROUTE 69 STE 201
Practice Address - Street 2:
Practice Address - City:PRESCOTT VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:86314-9459
Practice Address - Country:US
Practice Address - Phone:928-442-9205
Practice Address - Fax:602-535-3230
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-18
Last Update Date:2021-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZCSLG7699101YM0800X
AZCSA 14ADHS014813302F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No302F00000XManaged Care OrganizationsExclusive Provider OrganizationGroup - Single Specialty