| Performance Enhancement And Rehabilitation Inc | |
|
3295 W Ina Rd Ste 150 Tucson AZ 85741-2192 | |
| (520) 547-2062 | |
| (520) 547-2065 |
| Full Name | Performance Enhancement And Rehabilitation Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3295 W Ina Rd Ste 150, Tucson, Arizona |
| Authorized Official Name and Position | John A Heuvelman (SOCIAL WORKER) |
| Authorized Official Contact | 5207429166 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Performance Enhancement And Rehabilitation Inc 3295 W Ina Rd Ste 150 Tucson AZ 85741-2192 Ph: (520) 547-2062 | Performance Enhancement And Rehabilitation Inc 3295 W Ina Rd Ste 150 Tucson AZ 85741-2192 Ph: (520) 547-2062 |
| NPI Number | 1518014927 |
|---|---|
| Provider Enumeration Date | 01/05/2007 |
| Last Update Date | 11/13/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518014927 | NPI | - | NPPES |
| 1298I | Other | AZ | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 1298I (Arizona) | Primary |
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