| Arizona Center For Innovative Stress & Trauma Treatment Llc | |
|
2913 E 22nd St Tucson AZ 85713-2001 | |
| (520) 303-1697 | |
| (520) 347-3959 |
| Full Name | Arizona Center For Innovative Stress & Trauma Treatment Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2913 E 22nd St, Tucson, Arizona |
| Authorized Official Name and Position | Norma Magdaleno (CLINICAL DIRECTOR/THERAPIST) |
| Authorized Official Contact | 5204449138 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Arizona Center For Innovative Stress & Trauma Treatment Llc 2913 E 22nd St Tucson AZ 85713-2001 Ph: (520) 303-1697 | Arizona Center For Innovative Stress & Trauma Treatment Llc 2913 E 22nd St Tucson AZ 85713-2001 Ph: (520) 303-1697 |
| NPI Number | 1982061156 |
|---|---|
| Provider Enumeration Date | 01/19/2016 |
| Last Update Date | 05/03/2024 |
| Certification Date | 05/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982061156 | NPI | - | NPPES |
| 456065 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LCSW-11577 (Arizona) | Primary |
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