Organization
LIONESS COMMUNITY CARE OF ARIZONA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY COLEMAN (OWNER)
(602) 446-2000
Entity
Organization
Contact information
Practice address
1846 E INNOVATION PARK DR STE 100, ORO VALLEY, AZ 85755-1963
(602) 446-2000
Mailing address
1846 E INNOVATION PARK DR STE 100, ORO VALLEY, AZ 85755-1963
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/09/2018
Last updated
08/17/2018
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