| Crc-inpatient Unit | |
|
2802 E District St Fl 2 Tucson AZ 85714-2081 | |
| (520) 301-2400 | |
| Not Available |
| Full Name | Crc-inpatient Unit |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 2802 E District St Fl 2, Tucson, Arizona |
| Authorized Official Name and Position | Janice Talas-denny (PROVIDER NETWORK MANAGEMENT ASSOC) |
| Authorized Official Contact | 6232736154 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crc-inpatient Unit 2390 E Camelback Rd Ste 400 Phoenix AZ 85016-3479 Ph: (602) 416-7652 | Crc-inpatient Unit 2802 E District St Fl 2 Tucson AZ 85714-2081 Ph: (520) 301-2400 |
| NPI Number | 1821755141 |
|---|---|
| Provider Enumeration Date | 11/22/2021 |
| Last Update Date | 08/28/2024 |
| Certification Date | 08/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821755141 | NPI | - | NPPES |
| 120490 | Medicaid | AZ | |
| IFBH11317 | Other | AZ | STATE LICENSE |
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