Organization
CASA DE LOS NINOS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE HAUSLER (DIRECTOR OF CHILD AND FAMILY RESOUR)
(520) 624-5600
Entity
Organization
Contact information
Practice address
1101 N 4TH AVE, 1138 N. 5TH AVE., TUCSON, AZ 85705-7467
(520) 624-5600
(520) 623-2443
Mailing address
1101 N 4TH AVE, TUCSON, AZ 85705-7467
(520) 624-5600
(520) 623-2443
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
UNC-1216
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
055780
AHCCCS
AZ
01
—
074928
AHCCCS
AZ
01
—
07ADHS0189-1
COMMUNITY SERVICES PROVI
AZ
01
—
385189
AHCCCS
AZ
01
—
UNC-1216
ADHS
AZ
Enumeration date
02/27/2007
Last updated
04/22/2008
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