Organization
TUSCON FOUNTAINS FAMILY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DESIRE BIGIRIMANA (ADMINISTRATOR)
(520) 330-4636
Entity
Organization
Contact information
Practice address
9035 E CALLE KUEHN, TUCSON, AZ 85715-5606
(520) 330-3646
Mailing address
9035 E CALLE KUEHN, TUCSON, AZ 85715-5606
(520) 330-3646
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/23/2023
Last updated
11/23/2023
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