Individual
MR. DAVID ALLEN PATTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
BUENA VISTA RECOVERY CENTER, 5151 E PIMA ST, TUSCON, AZ 85712
(806) 800-6064
Mailing address
BUENA VISTA RECOVERY CENTER, 5151 E PIMA ST, TUSCON, AZ 85712
(806) 800-6064
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LAC20990
AZ
171W00000X
Contractor
3939
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1699881490
THERAPEUTIC FOSTER CARE
AZ
01
—
LAC20990
AZBBHE LICENSE NUMBER
AZ
Enumeration date
08/22/2006
Last updated
06/03/2022
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