| Intermountain Centers For Human Development Inc. | |
|
2502 N Dodge Blvd Ste 190c Tucson AZ 85716-2671 | |
| (520) 721-1887 | |
| (520) 721-0069 |
| Full Name | Intermountain Centers For Human Development Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2502 N Dodge Blvd Ste 190c, Tucson, Arizona |
| Authorized Official Name and Position | Rose M Lopez (PRESIDENT AND CEO) |
| Authorized Official Contact | 5207211887 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Intermountain Centers For Human Development Inc. Po Box 86537 Tucson AZ 85754-6537 Ph: (520) 721-1887 | Intermountain Centers For Human Development Inc. 2502 N Dodge Blvd Ste 190c Tucson AZ 85716-2671 Ph: (520) 721-1887 |
| NPI Number | 1841974169 |
|---|---|
| Provider Enumeration Date | 06/15/2023 |
| Last Update Date | 06/15/2023 |
| Certification Date | 06/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841974169 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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