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Organization
CONNECTIONS SOUTHERNAZ, LLC OUTPATIENT
Active
Organization
CONNECTIONS SOUTHERNAZ, LLC OUTPATIENT
Active
Other names
ConnectionsAZ, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DIXIE LOVRIEN (CRED MNGR)
(602) 253-5100
Entity
Organization
Contact information
Practice address
2802 E DISTRICT ST, TUCSON, AZ 85714-2081
(602) 253-5100
(866) 882-5456
Mailing address
3030 N CENTRAL AVE STE 1407, PHOENIX, AZ 85012-2720
(602) 253-5100
(866) 882-5456
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
OTC6497
AZ
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
OTC6497
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
913124
—
AZ
01
—
Z173149
MEDICARE
AZ
Enumeration date
04/03/2014
Last updated
02/24/2015
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