Organization
LA PALOMA FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID BRADLEY M.ED, LPC (CHIEF EXECUTIVE OFFICER)
(520) 750-9667
Entity
Organization
Contact information
Practice address
880 S CRAYCROFT RD, TUCSON, AZ 85711-7111
(520) 750-9667
(520) 750-0056
Mailing address
880 S CRAYCROFT RD, TUCSON, AZ 85711-7111
(520) 750-9667
(520) 750-0056
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
BH 2812
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126889
—
AZ
Enumeration date
05/07/2007
Last updated
08/22/2020
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