Organization
MIRASOL INC
Active
Parent organization
MIRASOL INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MIRASOL INC
Authorized official
MS. JEANNE RUST PHD (EXECUTIVE DIRECTOR)
(520) 546-3200
Entity
Organization
Contact information
Practice address
1515 E KLEINDALE RD, TUCSON, AZ 85719-1915
(520) 546-3200
(520) 546-3205
Mailing address
2954 N CAMPBELL AVE # 157, TUCSON, AZ 85719-2813
(520) 546-3200
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
BH 4518
AZ
Other
Enumeration date
08/31/2007
Last updated
04/16/2015
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