Organization
CONNECTIONS SOUTHERNAZ, LLC OUTPATIENT
Active
Other names
ConnectionsAZ, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DIXIE LOVRIEN (CRED MNGR)
(602) 253-5100
Entity
Organization
Contact information
Practice address
2802 E DISTRICT ST, TUCSON, AZ 85714-2081
(602) 253-5100
(866) 882-5456
Mailing address
3030 N CENTRAL AVE STE 1407, PHOENIX, AZ 85012-2720
(602) 253-5100
(866) 882-5456
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
OTC6497
AZ
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
OTC6497
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
913124
—
AZ
01
—
Z173149
MEDICARE
AZ
Enumeration date
04/03/2014
Last updated
02/24/2015
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