Organization
CORAZON INC.
Active
Other names
Corazon Behavioral Health Service
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TERESA MENCHACA LCSW (PRESIDENT/CEO)
(520) 836-4278
Entity
Organization
Contact information
Practice address
1891 N MASTICK WAY STE A, NOGALES, AZ 85621-1027
(520) 375-5300
(520) 281-2019
Mailing address
900 E FLORENCE BLVD STE G, CASA GRANDE, AZ 85122-4673
(520) 836-4278
(520) 836-3721
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
BH3746
AZ
Other
Enumeration date
12/28/2010
Last updated
12/28/2010
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