Organization
CASA DE ESPERANZA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM T MCCREERY LPC (EXECUTIVE DIRECTOR)
(520) 625-2273
Entity
Organization
Contact information
Practice address
780 S PARK CENTRE AVE, GREEN VALLEY, AZ 85614-5127
(520) 625-2273
Mailing address
780 S PARK CENTRE AVE, GREEN VALLEY, AZ 85614-5127
(520) 625-2273
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
Primary
AL0553D
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117037
—
AZ
05
—
209545
—
AZ
Enumeration date
11/30/2006
Last updated
08/02/2011
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