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Organization

HAVEN SENDERO DE SONORA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. RACHEL COX (CFO)
(520) 469-8700
Entity
Organization

Contact information

Practice address
2502 N DODGE BLVD STE 160, TUCSON, AZ 85716-2674
(520) 618-8901
(520) 618-8902
Mailing address
6050 N CORONA RD BLDG 3, TUCSON, AZ 85704-1097
(520) 469-8700
(520) 878-2320

Taxonomy

Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
BH2869
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1184814550
NPI
AZ
01
156993
AHCCCS
AZ
Enumeration date
12/13/2007
Last updated
12/13/2007
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