Organization
EASTER SEALS BLAKE FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARISSA S ARENDT (CFO)
(520) 327-1529
Entity
Organization
Contact information
Practice address
310 S MEYER AVE, TUCSON, AZ 85701-2207
(520) 622-3933
(520) 670-9221
Mailing address
7750 E BROADWAY BLVD STE A200, TUCSON, AZ 85710-3901
(520) 327-1529
(520) 327-1836
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CSL8349
AZ
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/03/2017
Last updated
09/01/2023
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