Cottonwood Tucson Outpatient Services | |
4110 W Sweetwater Dr Bldg 16 Tucson AZ 85745-9348 | |
(520) 743-0411 | |
(520) 743-7991 |
Full Name | Cottonwood Tucson Outpatient Services |
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Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
Location | 4110 W Sweetwater Dr Bldg 16, Tucson, Arizona |
Authorized Official Name and Position | Eileen M Jacobson (DIRECTOR HEALTH INFO MGMT/COMPLIANC) |
Authorized Official Contact | 5207432162 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Cottonwood Tucson Outpatient Services 4110 W Sweetwater Dr Bldg 16 Tucson AZ 85745-9348 Ph: (520) 743-0411 | Cottonwood Tucson Outpatient Services 4110 W Sweetwater Dr Bldg 16 Tucson AZ 85745-9348 Ph: (520) 743-0411 |
NPI Number | 1093240020 |
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Provider Enumeration Date | 04/27/2017 |
Last Update Date | 04/27/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093240020 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | OTC7911 (Arizona) | Secondary |
261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | OTC7911 (Arizona) | Primary |
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