La Frontera Center, INC.Nueva Vida
Case Management in Tucson, AZ. Organization (NPI-2).
NPI number1013103530
StatusActive
Last updated in NPPESSep 18, 2007
Details
- NPI
- 1013103530
- Entity type
- Organization (NPI-2)
- Legal business name
- La Frontera Center, INC.Nueva Vida
- Organization subpart
- No
- Enumeration date
- Sep 18, 2007
- Last updated
- Sep 18, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251B00000X | Case Management | BH-2923 | AZ | Yes |
Practice location
1200 E Ajo Way Ste 101Tucson, AZ 85713-5056
Phone 520-741-3120 · Fax 520-741-3155
Mailing address
1200 E Ajo Way Ste 101Tucson, AZ 85713-5056
Phone 520-741-3120 · Fax 520-741-3155
Authorized official
Kathy Wells
Chief Operations Officer
5208385501
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