La Frontera Center, INC.
Psychiatric Residential Treatment Facility in Tucson, AZ. Organization (NPI-2).
NPI number1720177348
StatusActive
Last updated in NPPESJul 12, 2024
Details
- NPI
- 1720177348
- Entity type
- Organization (NPI-2)
- Legal business name
- La Frontera Center, INC.
- Organization subpart
- No
- Enumeration date
- Oct 12, 2006
- Certification date
- Jul 12, 2024
- Last updated
- Jul 12, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 323P00000X | Psychiatric Residential Treatment Facility | BH-2168 | AZ | Yes |
Practice location
10845 N Thornydale RdTucson, AZ 85742-8154
Phone 520-579-8786 · Fax 520-579-8794
Mailing address
504 W 29th StTucson, AZ 85713-3353
Phone 520-884-9920 · Fax 520-792-0654
Authorized official
Kathy Wells
Coo
5208385501
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