Organization
CR RESORTS, LLC
Active
Other names
Canyon Ranch
Organization subpart
No
Provider details
NPI number
Authorized official
HENRY P DITTMER (SENIOR VICE PRESIDENT OF FINANCE)
(520) 749-9655
Entity
Organization
Contact information
Practice address
8600 E ROCKCLIFF RD, TUCSON, AZ 85750-9733
(520) 749-9655
(520) 749-0662
Mailing address
8600 E ROCKCLIFF RD, TUCSON, AZ 85750-9733
(520) 749-9655
(520) 749-0662
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
OTC8497
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTC8497
ARIZONA OUTPATIENT TREATMENT CENTER LICENSE
AZ
Enumeration date
05/31/2018
Last updated
05/31/2018
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