| Mount Lemmon Healthcare Llc | |
|
4310 E Grant Rd Ste B Tucson AZ 85712-2607 | |
| (520) 323-2607 | |
| (520) 323-4087 |
| Full Name | Mount Lemmon Healthcare Llc |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 4310 E Grant Rd Ste B, Tucson, Arizona |
| Authorized Official Name and Position | Soon Burnam (TREASURER) |
| Authorized Official Contact | 9495401249 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mount Lemmon Healthcare Llc 4310 E Grant Rd Ste B Tucson AZ 85712-2607 Ph: (520) 323-2607 | Mount Lemmon Healthcare Llc 4310 E Grant Rd Ste B Tucson AZ 85712-2607 Ph: (520) 323-2607 |
| NPI Number | 1477324853 |
|---|---|
| Provider Enumeration Date | 01/12/2024 |
| Last Update Date | 01/12/2024 |
| Certification Date | 06/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477324853 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Primary |
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