Organization
AVRA VALLEY RELIANCE BEHAVIORAL HOME LLC
Active
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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