Organization
CASA DE LOS NINOS, INC.
Active
Other names
Casa de los Ninos
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA VELARDE (ADMINISTRATIVE ANALYST)
(520) 471-2206
Entity
Organization
Contact information
Practice address
1120 N 5TH AVENUE, TUCSON, AZ 85705
(520) 624-5600
(520) 623-2443
Mailing address
1120 N 5TH AVENUE, TUCSON, AZ 85705
(520) 624-5600
(520) 881-1648
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
OTC-8835
AZ
251S00000X
Community/Behavioral Health Agency
PENDING
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
502818
—
AZ
Enumeration date
03/07/2018
Last updated
01/14/2021
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