Organization
MARANA HEALTH CENTER, INC
Active
Other names
Clinica Del Alma BH
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA B CARZOLI PHARMD (CEO)
(520) 682-4111
Entity
Organization
Contact information
Practice address
3690 S PARK AVE STE 805, TUCSON, AZ 85713-5042
(520) 616-6760
(520) 616-6799
Mailing address
PO BOX 188, MARANA, AZ 85653-0188
(520) 616-6760
(520) 616-6799
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
OTC4103
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
914568
—
AZ
Enumeration date
09/22/2015
Last updated
05/06/2024
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