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Organization
LA FRONTERA CENTER, INC.
Active
Organization
LA FRONTERA CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHY WELLS (EVP/COO)
(520) 838-5501
Entity
Organization
Contact information
Practice address
4891 E GRANT RD, TUCSON, AZ 85712-2704
(520) 296-3296
Mailing address
504 W 29TH ST, TUCSON, AZ 85713-3353
(520) 838-5600
(520) 792-0654
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
068233
—
AZ
01
—
OTC6231
LICENSE
AZ
Enumeration date
09/25/2006
Last updated
07/12/2024
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