Organization
SIMPLY CLEAN AND GREEN LLC
Active
Other names
Ethan Orr
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEREMIAH LOPEZ (PROGRAM DIRECTOR)
(520) 275-5927
Entity
Organization
Contact information
Practice address
1651 W GRANT RD, TUCSON, AZ 85745-1433
(520) 571-8600
Mailing address
PO BOX 27669, TUCSON, AZ 85726-7669
(520) 571-8600
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/23/2014
Last updated
01/23/2014
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