| Lafrontera Center Inc. | |
|
1601 E Apache Park Pl Tucson AZ 85714-1775 | |
| (520) 746-0260 | |
| (520) 295-0834 |
| Full Name | Lafrontera Center Inc. |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1601 E Apache Park Pl, Tucson, Arizona |
| Authorized Official Name and Position | Kathy Wells (VP/COO) |
| Authorized Official Contact | 5208385501 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lafrontera Center Inc. 504 W 29th St Tucson AZ 85713-3353 Ph: (520) 838-5600 | Lafrontera Center Inc. 1601 E Apache Park Pl Tucson AZ 85714-1775 Ph: (520) 746-0260 |
| NPI Number | 1073614905 |
|---|---|
| Provider Enumeration Date | 09/25/2006 |
| Last Update Date | 07/12/2024 |
| Certification Date | 07/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073614905 | NPI | - | NPPES |
| IFBH6469 | Other | AZ | BH LICENSE |
| 589806 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | IFBH6469 (Arizona) | Primary |
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