Organization
THE DEVEREUX ARIZONA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANE MARTIN-BARKER (EXECUTIVE DIRECTOR)
(480) 998-2920
Entity
Organization
Contact information
Practice address
2502 N DODGE BLVD, #120, TUCSON, AZ 85716-2671
(480) 998-2920
Mailing address
2025 N 3RD ST, SUITE 250, PHOENIX, AZ 85004-1471
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/14/2013
Last updated
05/24/2016
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