| Bethel | |
|
9820 E Paseo San Bernardo Tucson AZ 85747-5022 | |
| (520) 891-0081 | |
| Not Available |
| Full Name | Bethel |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9820 E Paseo San Bernardo, Tucson, Arizona |
| Authorized Official Name and Position | Koffi Seddo (ADMINISTRATOR PROVIDER) |
| Authorized Official Contact | 5208910081 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bethel 9820 E Paseo San Bernardo Tucson AZ 85747-5022 Ph: () - | Bethel 9820 E Paseo San Bernardo Tucson AZ 85747-5022 Ph: (520) 891-0081 |
| NPI Number | 1104162288 |
|---|---|
| Provider Enumeration Date | 12/18/2012 |
| Last Update Date | 12/18/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104162288 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | BH-4113 (Arizona) | Primary |
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