Tusa Saddle Behavioral Health Services Llc | |
615 W Cottonwood Ln Ste 5 Casa Grande AZ 85122-2250 | |
(702) 849-2173 | |
Not Available |
Full Name | Tusa Saddle Behavioral Health Services Llc |
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Speciality | Community/Behavioral Health |
Location | 615 W Cottonwood Ln Ste 5, Casa Grande, Arizona |
Authorized Official Name and Position | Isaac Mutabazi (CEO) |
Authorized Official Contact | 7028492173 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Tusa Saddle Behavioral Health Services Llc 7728 Coronado Island St Las Vegas NV 89139-6298 Ph: (702) 849-2173 | Tusa Saddle Behavioral Health Services Llc 615 W Cottonwood Ln Ste 5 Casa Grande AZ 85122-2250 Ph: (702) 849-2173 |
NPI Number | 1770260887 |
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Provider Enumeration Date | 06/29/2023 |
Last Update Date | 06/29/2023 |
Certification Date | 06/29/2023 |
Medicare PECOS PAC ID | 2769835974 |
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Medicare Enrollment ID | O20240124001554 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770260887 | NPI | - | NPPES |
Provider Name | Jacquette Shineese Brown |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1013543750 PECOS PAC ID: 5193175263 Enrollment ID: I20240102002534 |
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