| University Of Arizonarise-rssi | |
|
1450 N Cherry Ave Tucson AZ 85719-4207 | |
| (520) 626-7473 | |
| (520) 626-7833 |
| Full Name | University Of Arizonarise-rssi |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1450 N Cherry Ave, Tucson, Arizona |
| Authorized Official Name and Position | Beth C Stoneking (DIRECTOR OF RISE) |
| Authorized Official Contact | 5206267473 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| University Of Arizonarise-rssi 1450 N Cherry Tucson AZ 85719-4207 Ph: (520) 626-7473 | University Of Arizonarise-rssi 1450 N Cherry Ave Tucson AZ 85719-4207 Ph: (520) 626-7473 |
| NPI Number | 1679826291 |
|---|---|
| Provider Enumeration Date | 10/19/2012 |
| Last Update Date | 10/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679826291 | NPI | - | NPPES |
| CSA12ADHS0204 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | CSA12ADHS0204 (Arizona) | Primary |
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