Organization
TUSA SADDLE BEHAVIORAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISAAC MUTABAZI (CEO)
(702) 849-2173
Entity
Organization
Contact information
Practice address
615 W COTTONWOOD LN STE 5, CASA GRANDE, AZ 85122-2250
(702) 849-2173
Mailing address
7728 CORONADO ISLAND ST, LAS VEGAS, NV 89139-6298
(702) 849-2173
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
06/29/2023
Last updated
06/29/2023
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