| Ethan Orr | |
|
1651 W Grant Rd Tucson AZ 85745-1433 | |
| (520) 571-8600 | |
| Not Available |
| Full Name | Ethan Orr |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1651 W Grant Rd, Tucson, Arizona |
| Authorized Official Name and Position | Jeremiah Lopez (PROGRAM DIRECTOR) |
| Authorized Official Contact | 5202755927 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ethan Orr Po Box 27669 Tucson AZ 85726-7669 Ph: (520) 571-8600 | Ethan Orr 1651 W Grant Rd Tucson AZ 85745-1433 Ph: (520) 571-8600 |
| NPI Number | 1225451453 |
|---|---|
| Provider Enumeration Date | 01/23/2014 |
| Last Update Date | 01/23/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225451453 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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