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Organization

LEEWAY ENTERPRISE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RODGER MOULTRIE LEE II MSC/CC, LPC, BHP (CLINICAL DIRECTOR)
(520) 304-3655
Entity
Organization

Contact information

Practice address
1014 N COUNTRY CLUB RD, TUCSON, AZ 85716-4239
(520) 304-3655
Mailing address
1014 N COUNTRY CLUB RD, TUCSON, AZ 85716-4239
(520) 304-3655

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
11/30/2023
Last updated
11/30/2023
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