Provider Demographics
NPI:1184446114
Name:WESTERN ARIZONA COUNCIL OF GOVERNMENTS
Entity type:Organization
Organization Name:WESTERN ARIZONA COUNCIL OF GOVERNMENTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:H
Authorized Official - Last Name:BABIARS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:928-782-1886
Mailing Address - Street 1:1235 S. REDONDO CENTER DRIVE
Mailing Address - Street 2:
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85365-2039
Mailing Address - Country:US
Mailing Address - Phone:928-782-1886
Mailing Address - Fax:928-753-7038
Practice Address - Street 1:1235 S. REDONDO CENTER DRIVE
Practice Address - Street 2:
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85365-2039
Practice Address - Country:US
Practice Address - Phone:928-782-1886
Practice Address - Fax:928-753-7038
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-30
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172V00000XOther Service ProvidersCommunity Health WorkerGroup - Single Specialty