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8050 E Lakeside Pkwy Tucson AZ 85730-1254 | |
| (520) 584-5820 | |
| (520) 514-1514 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 8050 E Lakeside Pkwy, Tucson, Arizona |
| Authorized Official Name and Position | Rodney Cook (CEO) |
| Authorized Official Contact | 5207923293 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1477 W Commerce Ct Tucson AZ 85746-6016 Ph: (520) 792-3293 | 8050 E Lakeside Pkwy Tucson AZ 85730-1254 Ph: (520) 584-5820 |
| NPI Number | 1417029448 |
|---|---|
| Provider Enumeration Date | 11/14/2006 |
| Last Update Date | 01/14/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417029448 | NPI | - | NPPES |
| 918854 | Medicaid | AZ |
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