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Organization

MERCY HOUSE RECOVERY SYSTEMS INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL CORRAL (CEO)
(520) 829-7410
Entity
Organization

Contact information

Practice address
2215 E PINON DR, TUCSON, AZ 85706-2453
(520) 829-7410
(520) 829-7410
Mailing address
2215 E PINON DR, TUCSON, AZ 85706-2453
(520) 829-7410
(520) 829-7410

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
03D2063481
AZ
324500000X
Substance Abuse Rehabilitation Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03D2063481
CLIA LICENSE
AZ
Enumeration date
07/23/2013
Last updated
11/01/2013
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