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Organization
CARONDELET HEALTH NETWORK
Active
Organization
CARONDELET HEALTH NETWORK
Active
Other names
O'Rielly Transitions Intensive Outpatient Program
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALAN STRAUSS (CFO)
(520) 872-7700
Entity
Organization
Contact information
Practice address
350 N WILMOT RD, SUITE 150-23A, TUCSON, AZ 85711-2602
(520) 873-3000
Mailing address
2202 N FORBES BLVD, ATTN: MANAGED CARE, TUCSON, AZ 85745-1412
(520) 872-7700
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
BH4206
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BH4206
ARIZONA STATE LICENSE
AZ
01
—
OTC6361
ADHS STATE LICENSE
AZ
Enumeration date
04/03/2013
Last updated
05/05/2014
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