| Clinica Del Alma Bh | |
|
3690 S Park Ave Ste 805 Tucson AZ 85713-5042 | |
| (520) 616-6760 | |
| (520) 616-6799 |
| Full Name | Clinica Del Alma Bh |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3690 S Park Ave Ste 805, Tucson, Arizona |
| Authorized Official Name and Position | Joshua B Carzoli (CEO) |
| Authorized Official Contact | 5206824111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica Del Alma Bh Po Box 188 Marana AZ 85653-0188 Ph: (520) 616-6760 | Clinica Del Alma Bh 3690 S Park Ave Ste 805 Tucson AZ 85713-5042 Ph: (520) 616-6760 |
| NPI Number | 1326417270 |
|---|---|
| Provider Enumeration Date | 09/22/2015 |
| Last Update Date | 05/06/2024 |
| Certification Date | 05/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326417270 | NPI | - | NPPES |
| 914568 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | OTC4103 (Arizona) | Primary |
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