| Sonora Behavioral Health - Outpatient Services | |
|
3130 E Broadway Blvd Ste 196 Tucson AZ 85716-5863 | |
| (520) 399-8688 | |
| Not Available |
| Full Name | Sonora Behavioral Health - Outpatient Services |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3130 E Broadway Blvd Ste 196, Tucson, Arizona |
| Authorized Official Name and Position | Brian P. Farley (VP & SECRETARY) |
| Authorized Official Contact | 6158616000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sonora Behavioral Health - Outpatient Services 6100 Tower Circle Suite 1000 Franklin TN 37067 Ph: () - | Sonora Behavioral Health - Outpatient Services 3130 E Broadway Blvd Ste 196 Tucson AZ 85716-5863 Ph: (520) 399-8688 |
| NPI Number | 1245777481 |
|---|---|
| Provider Enumeration Date | 01/26/2017 |
| Last Update Date | 08/26/2023 |
| Certification Date | 08/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245777481 | NPI | - | NPPES |
| 172145 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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