Organization
LA FRONTERA CENTER, INC.
Active
Organization
LA FRONTERA CENTER, INC.
Active
Other names
Menninger House
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHY GUZMAN WELLS (EVP/COO)
(520) 838-5501
Entity
Organization
Contact information
Practice address
240 W NAVAJO RD, TUCSON, AZ 85705-3514
(520) 471-3822
(520) 887-3476
Mailing address
504 W 29TH ST, TUCSON, AZ 85713-3353
(520) 838-5600
(520) 792-0654
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
BH4560
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
987602
—
AZ
01
—
BH4560
BH LICENSE
AZ
Enumeration date
02/11/2015
Last updated
07/12/2024
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