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Organization
CASBRA BEHAVIORAL HEALTH, INC.
Active
Organization
CASBRA BEHAVIORAL HEALTH, INC.
Active
Other names
Casbra Behavioral Health, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CASSANDRA BETH DIAZ DE LEON DNP, PMHNP-BC, BSN (CHIEF EXECUTIVE OFFICER)
(520) 225-8465
Entity
Organization
Contact information
Practice address
1152 N HOHOKAM DR STE 4, NOGALES, AZ 85621-1373
(520) 225-8465
Mailing address
1152 N HOHOKAM DR STE 4, NOGALES, AZ 85621-1373
(520) 225-8465
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
374908
—
AZ
Enumeration date
07/18/2019
Last updated
07/18/2019
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