Organization
CASA DE TUCSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANNE N HOWARTH REGISTERED NURSE (OWNER/ADMINISTRATOR)
(520) 572-0404
Entity
Organization
Contact information
Practice address
3700 W GAILEY DR, TUCSON, AZ 85741-2017
(520) 572-0404
(520) 572-0776
Mailing address
3700 W GAILEY DR, TUCSON, AZ 85741-2017
(520) 572-0404
(520) 572-0776
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
BH-1941
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
57990
AHCCCS
AZ
Enumeration date
08/15/2006
Last updated
08/22/2020
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