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Organization

SENDERO DE SONORA INC.

Active
Parent organization
SONORA BEHAVIORAL HEALTH
Organization subpart
Yes

Provider details

NPI number
Legal business name
SONORA BEHAVIORAL HEALTH
Authorized official
MR. GEORGE WIESE (CHIEF FINANCIAL OFFICER)
(520) 870-6618
Entity
Organization

Contact information

Practice address
2502 N DODGE BLVD, SUITE 160, TUCSON, AZ 85716-2671
(520) 618-8901
Mailing address
4881 N CALLE BUJIA, TUCSON, AZ 85718-6168
(520) 870-6618

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
BHH2327
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
827420-01
AZ
Enumeration date
01/24/2008
Last updated
01/24/2008
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