Organization
MARK YOUTH AND FAMILY CARE CAMPUS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN LEGGIO LISAC (CEO)
(520) 326-6182
Entity
Organization
Contact information
Practice address
4653 E PIMA ST, TUCSON, AZ 85712-3437
(520) 326-6182
(520) 326-9034
Mailing address
4653 E PIMA ST, TUCSON, AZ 85712-3437
(520) 326-6182
(520) 326-9034
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1054
AZ
Other
Enumeration date
05/07/2007
Last updated
04/01/2009
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