Organization
LA FRONTERA CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHY WELLS (EVP/COO)
(520) 838-5501
Entity
Organization
Contact information
Practice address
10841 N THORNYDALE RD, TUCSON, AZ 85742-8154
(520) 572-9320
(520) 572-8978
Mailing address
502 W 29TH ST, TUCSON, AZ 85713-3394
(520) 838-5600
(520) 792-0654
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
BH-2642
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
083678
—
AZ
01
—
BH-2642
BH LICENSE
AZ
Enumeration date
09/25/2006
Last updated
07/12/2024
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