Organization
MOUNTAIN DEW BEHAVIORAL HEALTH PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES ABANISHE MD (CHAIRMAN/MEDICAL DIRECTOR)
(917) 376-7720
Entity
Organization
Contact information
Practice address
6700 N ORACLE RD, SUITE 119, TUCSON, AZ 85704-7732
(520) 389-8468
Mailing address
6700 N ORACLE RD, TUCSON, AZ 85704-7732
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
50979
AZ
Other
Enumeration date
04/30/2016
Last updated
03/08/2017
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