Organization
CORAZON INC.
Active
Other names
Corazon Integrated Healthcare Services
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA MENACHACA LCSW (CEO)
(520) 836-4278
Entity
Organization
Contact information
Practice address
936 F AVE STE A&B, DOUGLAS, AZ 85607-2001
(520) 836-4278
Mailing address
900 E FLORENCE BLVD, CASA GRANDE, AZ 85122-4666
(520) 836-4278
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
4382
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
584944
—
AZ
Enumeration date
09/10/2013
Last updated
09/30/2013
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