Individual
MARIA PAISANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1497 W ISLINGTON AVE, TUCSON, AZ 85746-3913
(520) 444-4342
Mailing address
4000 N CENTRAL AVE STE 100, PHOENIX, AZ 85012-3520
(602) 859-7794
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
11774307
AZ
385HR2055X
Child Mental Illness Respite Care
11774307
AZ
Other
Enumeration date
08/16/2022
Last updated
05/01/2024
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