Organization · NPI-2

Allied Integrated Clinic Tucson LLC

Clinic/Center, Mental Health (Including Community Mental Health Center) · Tucson, AZ

NPI number1659059145
StatusActive
Last updated in NPPESJul 6, 2023

Details

NPI
1659059145
Entity type
Organization (NPI-2)
Legal business name
Allied Integrated Clinic Tucson LLC
Organization subpart
No
Enumeration date
Jul 6, 2023
Certification date
Jul 6, 2023
Last updated
Jul 6, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Practice location

6418 E Tanque Verde Rd Ste 103-105
Tucson, AZ 85715-3846

Phone 480-287-4545

Mailing address

6418 E Tanque Verde Rd Ste 103-105
Tucson, AZ 85715-3846

Phone 480-287-4545

Authorized official

John Wilson
Ceo
4802874545

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