| Allied Integrated Clinic Tucson Llc | |
|
6418 E Tanque Verde Rd Ste 103-105 Tucson AZ 85715-3846 | |
| (480) 287-4545 | |
| Not Available |
| Full Name | Allied Integrated Clinic Tucson Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 6418 E Tanque Verde Rd Ste 103-105, Tucson, Arizona |
| Authorized Official Name and Position | John Wilson (CEO) |
| Authorized Official Contact | 4802874545 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Allied Integrated Clinic Tucson Llc 6418 E Tanque Verde Rd Ste 103-105 Tucson AZ 85715-3846 Ph: (480) 287-4545 | Allied Integrated Clinic Tucson Llc 6418 E Tanque Verde Rd Ste 103-105 Tucson AZ 85715-3846 Ph: (480) 287-4545 |
| NPI Number | 1659059145 |
|---|---|
| Provider Enumeration Date | 07/06/2023 |
| Last Update Date | 07/06/2023 |
| Certification Date | 07/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659059145 | NPI | - | NPPES |
| OTC12595 | Other | AZ | AZDHS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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