| Pima Prevention Partnership | |
|
1346 N Stone Ave Bldg 2 Tucson AZ 85705-7338 | |
| (520) 792-3293 | |
| (520) 792-4336 |
| Full Name | Pima Prevention Partnership |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1346 N Stone Ave Bldg 2, Tucson, Arizona |
| Authorized Official Name and Position | Rodney Cook (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5207923293 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pima Prevention Partnership 1477 W Commerce Ct Tucson AZ 85746-6016 Ph: (520) 792-3293 | Pima Prevention Partnership 1346 N Stone Ave Bldg 2 Tucson AZ 85705-7338 Ph: (520) 792-3293 |
| NPI Number | 1972033793 |
|---|---|
| Provider Enumeration Date | 06/14/2017 |
| Last Update Date | 05/31/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972033793 | NPI | - | NPPES |
| 274453 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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