Organization
LA PALOMA FAMILY SERVICES
Active
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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