Organization
AVRA VALLEY RELIANCE BEHAVIORAL HOME LLC
Active
Other names
Avra Valley Reliance Behavioral Home LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE KAMWITHI BSN, RN (MANAGER/OWNER)
(978) 729-2869
Entity
Organization
Contact information
Practice address
2010 W GRANT RD, TUCSON, AZ 85745-1108
(520) 622-0488
(520) 622-0487
Mailing address
2162 W SPEEDWAY BLVD APT 31104, TUCSON, AZ 85745-3938
(978) 729-2869
(520) 622-0487
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/21/2020
Last updated
04/28/2021
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