| Children & Adolescent Services (cas) | |
|
160 W Fort Lowell Rd Tucson AZ 85705-3812 | |
| (520) 318-3266 | |
| (520) 318-0821 |
| Full Name | Children & Adolescent Services (cas) |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 160 W Fort Lowell Rd, Tucson, Arizona |
| Authorized Official Name and Position | W Mark Clark (CEO) |
| Authorized Official Contact | 5203274505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children & Adolescent Services (cas) 127 S 5th Ave Tucson AZ 85701-2005 Ph: (520) 327-4505 | Children & Adolescent Services (cas) 160 W Fort Lowell Rd Tucson AZ 85705-3812 Ph: (520) 318-3266 |
| NPI Number | 1902092166 |
|---|---|
| Provider Enumeration Date | 09/21/2007 |
| Last Update Date | 02/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902092166 | NPI | - | NPPES |
| 278824 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | BH-2093 (Arizona) | Primary |
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