| Tides Of Change Center Of Wellness | |
|
1451 E Redrock Dr Sierra Vista AZ 85650-8499 | |
| (520) 249-7650 | |
| Not Available |
| Full Name | Tides Of Change Center Of Wellness |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1451 E Redrock Dr, Sierra Vista, Arizona |
| Authorized Official Name and Position | Marianne S Valladares (PRESIDENT) |
| Authorized Official Contact | 5202497650 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tides Of Change Center Of Wellness 1451 E Redrock Dr Sierra Vista AZ 85650-8499 Ph: (520) 249-7650 | Tides Of Change Center Of Wellness 1451 E Redrock Dr Sierra Vista AZ 85650-8499 Ph: (520) 249-7650 |
| NPI Number | 1376869321 |
|---|---|
| Provider Enumeration Date | 04/15/2010 |
| Last Update Date | 04/15/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376869321 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LCSW10948 (Arizona) | Primary |
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