| Haven Sendero De Sonora | |
|
2502 N Dodge Blvd Ste 160 Tucson AZ 85716-2674 | |
| (520) 618-8901 | |
| (520) 618-8902 |
| Full Name | Haven Sendero De Sonora |
|---|---|
| Speciality | Psychoanalyst |
| Location | 2502 N Dodge Blvd Ste 160, Tucson, Arizona |
| Authorized Official Name and Position | Rachel Cox (CFO) |
| Authorized Official Contact | 5204698700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Haven Sendero De Sonora 6050 N Corona Rd Bldg 3 Tucson AZ 85704-1097 Ph: (520) 469-8700 | Haven Sendero De Sonora 2502 N Dodge Blvd Ste 160 Tucson AZ 85716-2674 Ph: (520) 618-8901 |
| NPI Number | 1679756621 |
|---|---|
| Provider Enumeration Date | 12/13/2007 |
| Last Update Date | 12/13/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679756621 | NPI | - | NPPES |
| 156993 | Other | AZ | AHCCCS |
| 1184814550 | Other | AZ | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 102L00000X | Psychoanalyst | BH2869 (Arizona) | Primary |
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