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Organization

LA FRONTERA CENTER, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATHY GUZMAN WELLS (EVP/COO)
(520) 838-5501
Entity
Organization

Contact information

Practice address
1900 W SPEEDWAY BLVD, TUCSON, AZ 85745-2215
(520) 792-0591
(520) 882-5817
Mailing address
504 W 29TH ST, TUCSON, AZ 85713-3353
(520) 884-9920
(520) 792-0654

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
BH-015
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
057837
AZ
01
BH015
BH LICENSE
AZ
Enumeration date
09/28/2006
Last updated
07/12/2024
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