Organization
CASA DE LOS NINOS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE HAUSLER LPC (DIRECTOR)
(520) 624-5600
Entity
Organization
Contact information
Practice address
1101 N 4TH AVE, TUCSON, AZ 85705-7467
(520) 624-5600
(520) 623-2443
Mailing address
1101 N 4TH AVE, TUCSON, AZ 85705-7467
(520) 624-5600
(520) 623-2443
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
CSA07ADHS01891
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CSA07ADHS01891
COMMUNITY SERVICE AGENCY
AZ
01
—
UNC1216
DEPARTMENT OF HELATH SERV
AZ
Enumeration date
04/06/2007
Last updated
04/22/2008
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