# MIRASOL INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MIRASOL INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1407040553
- **Legal business name:** MIRASOL INC
- **Authorized official:** MS. JEANNE RUST PHD (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (520) 546-3200

## Contact information

- **Practice address:** 1515 E KLEINDALE RD, TUCSON, AZ 85719-1915
- **Practice address phone:** (520) 546-3200
- **Practice address fax:** (520) 546-3205
- **Mailing address:** 2954 N CAMPBELL AVE \# 157, TUCSON, AZ 85719-2813
- **Mailing address phone:** (520) 546-3200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | BH 4518 | AZ | Yes |

## Other

- **Enumeration date:** 08/31/2007
- **Last updated:** 04/16/2015