# LA PALOMA FAMILY SERVICES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629311634
- **Authorized official:** LISA WHITEHEAD (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (520) 206-8659

## Contact information

- **Practice address:** 870 W MIRACLE MILE, BLDG 1, TUCSON, AZ 85705-3708
- **Practice address phone:** (520) 750-9667
- **Mailing address:** 870 W MIRACLE MILE, BLDG 1, TUCSON, AZ 85705-3708
- **Mailing address phone:** (520) 750-9667

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 4170 | AZ | Yes |

## Other

- **Enumeration date:** 03/28/2013
- **Last updated:** 03/28/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4170 | OBHL | AZ |