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Organization

MARANA BEHAVIORAL HEALTH CENTER

Active
Parent organization
MARANA HEALTH CENTER
Organization subpart
Yes

Provider details

NPI number
Legal business name
MARANA HEALTH CENTER
Authorized official
DD SANDE (CREDENTIALING SPECIALIST)
(520) 682-4111
Entity
Organization

Contact information

Practice address
13395 N MARANA MAIN ST, MARANA, AZ 85653-7008
(520) 682-1091
(520) 682-4132
Mailing address
PO BOX 188, MARANA, AZ 85653-0188
(520) 682-4111
(520) 682-4570

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
BH3894
AZ

Other

Enumeration date
07/21/2011
Last updated
10/18/2011
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