Organization
SAN PEDRO HEALTH
Active
Organization
SAN PEDRO HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BROOKE MANSOUR (THERAPIST)
(520) 515-9610
Entity
Organization
Contact information
Practice address
4151 LA LINDA WAY STE 102, SIERRA VISTA, AZ 85635-4600
(520) 515-9610
Mailing address
4151 LA LINDA WAY STE 102, SIERRA VISTA, AZ 85635-4600
(520) 515-9610
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LAMFT-10301
AZ
Other
Enumeration date
05/19/2013
Last updated
05/19/2013
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