| Banner -- University Medicine Crisis Response Center Llc | |
|
2802 E District St Tucson AZ 85714-2081 | |
| (602) 253-5100 | |
| (602) 266-0139 |
| Full Name | Banner -- University Medicine Crisis Response Center Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2802 E District St, Tucson, Arizona |
| Authorized Official Name and Position | Dennis Laraway (CFO) |
| Authorized Official Contact | 6027474000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Banner -- University Medicine Crisis Response Center Llc 2901 N Central Ave Ste 160 Phoenix AZ 85012-2702 Ph: () - | Banner -- University Medicine Crisis Response Center Llc 2802 E District St Tucson AZ 85714-2081 Ph: (602) 253-5100 |
| NPI Number | 1881062230 |
|---|---|
| Provider Enumeration Date | 09/02/2015 |
| Last Update Date | 12/28/2021 |
| Certification Date | 12/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881062230 | NPI | - | NPPES |
| 063118 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Nancy E Campbell, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2230 E. Speedway Blvd., Suite 100, Tucson, AZ 85719 Phone: 520-878-7857 Fax: 520-572-2049 | |
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Counseling Directions Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 N Alvernon Way Ste 105, Tucson, AZ 85711 Phone: 520-561-8773 | |
Perception Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1213 E Warehouse Avenue, Tucson, AZ 85719 Phone: 520-623-7077 | |
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