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Organization

HEALTHY TREATING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MASSO ERIC RUSAMAZA BHT (CEO)
(920) 378-7176
Entity
Organization

Contact information

Practice address
7740 E SPEEDWAY BLVD, TUCSON, AZ 85710-1606
(920) 378-7176
Mailing address
3825 E SUN VIEW CT, TUCSON, AZ 85706-4983
(920) 378-7176

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YA0400X
Addiction (Substance Use Disorder) Counselor
103K00000X
Behavior Analyst
103TA0400X
Addiction (Substance Use Disorder) Psychologist
103TP0016X
Prescribing (Medical) Psychologist
2084P0802X
Addiction Psychiatry Physician
261Q00000X
Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
883756877
IRS
Enumeration date
03/07/2023
Last updated
03/10/2023
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