Organization
CASA GRANDE UNION HSD
Active
Organization
CASA GRANDE UNION HSD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONAH M GILLOOLY MSW (ESS COUNSELOR)
(520) 836-8500
Entity
Organization
Contact information
Practice address
2730 N TREKELL RD, CASA GRANDE, AZ 85122-1019
(520) 836-8500
(520) 876-1199
Mailing address
2730 N TREKELL RD, CASA GRANDE, AZ 85122-1019
(520) 836-8500
(520) 876-1199
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LCSW-12294
AZ
251S00000X
Community/Behavioral Health Agency
LISAC-11537
AZ
Other
Enumeration date
08/22/2011
Last updated
08/22/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up