Organization
RENEWAL CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNETTE LADD (DIRECTOR)
(520) 731-2055
Entity
Organization
Contact information
Practice address
633 N 2ND AVE, TUCSON, AZ 85705-7801
(520) 791-9974
(529) 731-2057
Mailing address
633 N 2ND AVE, TUCSON, AZ 85705-7801
(520) 791-9974
(529) 731-2057
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LCSW-10793
AZ
Other
Enumeration date
11/09/2006
Last updated
08/22/2020
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