Organization
COTTONWOOD TUCSON OUTPATIENT SERVICES
Active
Parent organization
COTTONWOOD DE TUCSON, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
COTTONWOOD DE TUCSON, INC.
Authorized official
MS. EILEEN M JACOBSON RHIT (DIRECTOR HEALTH INFO MGMT/COMPLIANC)
(520) 743-2162
Entity
Organization
Contact information
Practice address
4110 W SWEETWATER DR BLDG 16, TUCSON, AZ 85745-9348
(520) 743-0411
(520) 743-7991
Mailing address
4110 W SWEETWATER DR BLDG 16, TUCSON, AZ 85745-9348
(520) 743-0411
(520) 743-7991
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
OTC7911
AZ
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
OTC7911
AZ
Other
Enumeration date
04/27/2017
Last updated
04/27/2017
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