Organization
BTAZ LLC
Active
Other names
Burning Tree West LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA MARTIN NEW MSW, LCSW (EXECUTIVE DIRECTOR)
(207) 420-7341
Entity
Organization
Contact information
Practice address
732 N STONE AVE, TUCSON, AZ 85705-8351
(520) 795-3367
Mailing address
700 N 7TH AVE, TUCSON, AZ 85705-8307
(520) 795-3367
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
OTC8753
AZ
Other
Enumeration date
04/27/2018
Last updated
04/27/2018
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