Individual
CHARITY KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7502 E 33RD ST, TUCSON, AZ 85710-6006
(520) 971-5825
Mailing address
1161 N EL DORADO PL, TUCSON, AZ 85715-4607
(520) 748-7108
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
7633247
AZ
253J00000X
Foster Care Agency
Primary
—
—
385HR2055X
Child Mental Illness Respite Care
7633247
AZ
385HR2055X
Child Mental Illness Respite Care
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
316707
—
AZ
Enumeration date
10/09/2017
Last updated
12/23/2021
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