| Casa De Los Ninos, Inc. | |
|
1101 N 4th Ave Tucson AZ 85705-7467 | |
| (520) 624-5600 | |
| (520) 881-1648 |
| Full Name | Casa De Los Ninos, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1101 N 4th Ave, Tucson, Arizona |
| Authorized Official Name and Position | Susie Huhn (CEO) |
| Authorized Official Contact | 5206245600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Casa De Los Ninos, Inc. 1120 N 5th Ave Tucson AZ 85705-7408 Ph: (520) 881-1292 | Casa De Los Ninos, Inc. 1101 N 4th Ave Tucson AZ 85705-7467 Ph: (520) 624-5600 |
| NPI Number | 1760154181 |
|---|---|
| Provider Enumeration Date | 10/04/2021 |
| Last Update Date | 10/04/2021 |
| Certification Date | 09/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760154181 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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