Organization
COMMUNITY PARTNERS INTEGRATED HEALTHCARE, INC.
Active
Parent organization
COMMUNITY PARTNERS INC.
Other names
Desert Palm MAT
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY PARTNERS INC.
Authorized official
ROSE MARY LOPEZ MBA (PRESIDENT AND CEO)
(520) 721-1887
Entity
Organization
Contact information
Practice address
1021 E PALMDALE ST STE 130, TUCSON, AZ 85714-1859
(520) 407-5353
(520) 318-6917
Mailing address
PO BOX 86537, TUCSON, AZ 85754-6537
(520) 721-1887
(520) 721-0069
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QM2800X
Methadone Clinic
Primary
PENDING
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
554498
—
AZ
01
—
OTC9751
ADHS-BMFL
AZ
Enumeration date
05/14/2018
Last updated
04/20/2020
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