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Organization
INTERMOUNTAIN CENTERS FOR HUMAN DEVELOPMENT
Active
Organization
INTERMOUNTAIN CENTERS FOR HUMAN DEVELOPMENT
Active
Other names
Intermountain Centers
Organization subpart
No
Provider details
NPI number
Authorized official
ROSE MARY LOPEZ MBA (PRESIDENT AND CEO)
(520) 721-1887
Entity
Organization
Contact information
Practice address
401 N BONITA AVE, TUCSON, AZ 85709-5001
(520) 571-6466
(520) 721-0069
Mailing address
PO BOX 86537, TUCSON, AZ 85754-6537
(520) 721-1887
(520) 721-0069
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
NULL
261QC1500X
Community Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
09/18/2019
Last updated
04/29/2020
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