Organization
LA PALOMA FAMILY SERVICES
Active
Other names
Menninger House
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID T BRADLEY (CEO)
(520) 750-9667
Entity
Organization
Contact information
Practice address
240 W NAVAJO RD, TUCSON, AZ 85705-3514
(520) 408-5475
(520) 750-0056
Mailing address
880 S CRAYCROFT RD, TUCSON, AZ 85711-7111
(520) 750-9667
(520) 750-0056
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
BH-2356
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
647810
—
AZ
Enumeration date
10/10/2006
Last updated
04/07/2009
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