Organization
ALLIED INTEGRATED CLINIC TUCSON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WILSON (CEO)
(480) 287-4545
Entity
Organization
Contact information
Practice address
6418 E TANQUE VERDE RD STE 103-105, TUCSON, AZ 85715-3846
(480) 287-4545
Mailing address
6418 E TANQUE VERDE RD STE 103-105, TUCSON, AZ 85715-3846
(480) 287-4545
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTC12595
AZDHS
AZ
Enumeration date
07/06/2023
Last updated
07/06/2023
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