| Wilmot Family Health Center Behavioral Health | |
|
899 N Wilmot Rd Ste B Tucson AZ 85711-1712 | |
| (520) 290-1100 | |
| (520) 290-8997 |
| Full Name | Wilmot Family Health Center Behavioral Health |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 899 N Wilmot Rd Ste B, Tucson, Arizona |
| Authorized Official Name and Position | Clarence G Vatne (CEO) |
| Authorized Official Contact | 5206824111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wilmot Family Health Center Behavioral Health Po Box 188 Marana AZ 85653-0188 Ph: (520) 682-4111 | Wilmot Family Health Center Behavioral Health 899 N Wilmot Rd Ste B Tucson AZ 85711-1712 Ph: (520) 290-1100 |
| NPI Number | 1306280797 |
|---|---|
| Provider Enumeration Date | 04/29/2013 |
| Last Update Date | 04/29/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306280797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | BH-4182 (Arizona) | Primary |
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