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Organization
MIRASOL INC
Active
Organization
MIRASOL INC
Active
Parent organization
MIRASOL INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MIRASOL INC
Authorized official
MS. JEANNE RUST PHD (EXECUTIVE DIRECTOR)
(520) 546-3200
Entity
Organization
Contact information
Practice address
1515 E KLEINDALE RD, TUCSON, AZ 85719-1915
(520) 546-3200
(520) 546-3205
Mailing address
2954 N CAMPBELL AVE # 157, TUCSON, AZ 85719-2813
(520) 546-3200
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
BH 4518
AZ
Other
Enumeration date
08/31/2007
Last updated
04/16/2015
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