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Organization

HAVEN SENDERO DE SONORA, INC.

Active
Other names
Sendero de Sonora
Organization subpart
No

Provider details

NPI number
Authorized official
MR. WILLIAM PAGE BARNES (CFO)
(615) 250-9091
Entity
Organization

Contact information

Practice address
2502 N DODGE BLVD, SUITE 160, TUCSON, AZ 85716-2671
(520) 618-8901
Mailing address
2502 N DODGE BLVD, SUITE 160, TUCSON, AZ 85716-2671

Taxonomy

Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
BH2869
AZ

Other

Enumeration date
07/31/2007
Last updated
07/31/2007
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