Organization
BTAZ LLC
Active
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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