Organization
LA FRONTERA CENTER, INC.NUEVA VIDA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY WELLS (CHIEF OPERATIONS OFFICER)
(520) 838-5501
Entity
Organization
Contact information
Practice address
1200 E AJO WAY STE 101, TUCSON, AZ 85713-5056
(520) 741-3120
(520) 741-3155
Mailing address
1200 E AJO WAY STE 101, TUCSON, AZ 85713-5056
(520) 741-3120
(520) 741-3155
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
BH-2923
AZ
Other
Enumeration date
09/18/2007
Last updated
09/18/2007
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