# LA FRONTERA CENTER, INC.

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

## Provider details

- **NPI number:** 1699876532
- **Authorized official:** MS. KATHY WELLS (COO)
- **Authorized official phone:** (520) 838-5501

## Contact information

- **Practice address:** 6401 S. COUNTRY CLUB, \#157, TUCSON, AZ 85706
- **Practice address phone:** (520) 807-6040
- **Practice address fax:** (520) 807-1377
- **Mailing address:** 502 W. 29TH STREET, TUCSON, AZ 85713-3353
- **Mailing address phone:** (520) 884-9920
- **Mailing address fax:** (520) 792-0654

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | BH-2455 | AZ | Yes |

## Other

- **Enumeration date:** 09/25/2006
- **Last updated:** 08/22/2020