Organization
CORAZON INTEGRATED HEALTHCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRICIA FOSTER MSW, LISAC (CEO)
(520) 836-4278
Entity
Organization
Contact information
Practice address
900 E FLORENCE BLVD, SUITE G, CASA GRANDE, AZ 85122-4666
(520) 836-4278
Mailing address
900 E FLORENCE BLVD, SUITE G, CASA GRANDE, AZ 85122-4666
(520) 836-4278
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
OTC6641
AZ
Other
Enumeration date
04/30/2015
Last updated
04/30/2015
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