| The Good Samaritan House Llc | |
|
6959 S Martlet Dr Tucson AZ 85756-8621 | |
| (833) 472-6274 | |
| Not Available |
| Full Name | The Good Samaritan House Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 6959 S Martlet Dr, Tucson, Arizona |
| Authorized Official Name and Position | Jacqueline Lorraine Louissaint (VICE PRESIDENT) |
| Authorized Official Contact | 8334726274 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Good Samaritan House Llc 6959 S Martlet Dr Tucson AZ 85756-8621 Ph: () - | The Good Samaritan House Llc 6959 S Martlet Dr Tucson AZ 85756-8621 Ph: (833) 472-6274 |
| NPI Number | 1659006146 |
|---|---|
| Provider Enumeration Date | 07/19/2022 |
| Last Update Date | 07/19/2022 |
| Certification Date | 07/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659006146 | NPI | - | NPPES |
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