Individual
MRS. CRISANTA T HANNAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NONE
Contact information
Practice address
7151 W VALLEY STREAM DRIVE, TUCSON, AZ 85757-1422
(520) 888-0810
(520) 319-5491
Mailing address
7151 W VALLEY STREAM DRIVE, TUCSON, AZ 85757-1422
(520) 888-0810
(520) 319-5491
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
2721
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
921503
AHCCCS
AZ
Enumeration date
01/31/2007
Last updated
01/18/2008
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