Organization
LAFRONTERA CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHY WELLS (VP/COO)
(520) 838-5501
Entity
Organization
Contact information
Practice address
1601 E APACHE PARK PL, TUCSON, AZ 85714-1775
(520) 746-0260
(520) 295-0834
Mailing address
504 W 29TH ST, TUCSON, AZ 85713-3353
(520) 838-5600
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
IFBH6469
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
589806
—
AZ
01
—
IFBH6469
BH LICENSE
AZ
Enumeration date
09/25/2006
Last updated
07/12/2024
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