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Organization

INTERMOUNTAIN CENTERS FOR HUMAN DEVELOPMENT INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROSE M LOPEZ MBA (PRESIDENT AND CEO)
(520) 721-1887
Entity
Organization

Contact information

Practice address
2502 N DODGE BLVD STE 190C, TUCSON, AZ 85716-2671
(520) 721-1887
(520) 721-0069
Mailing address
PO BOX 86537, TUCSON, AZ 85754-6537
(520) 721-1887
(520) 721-0069

Taxonomy

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

Other

Enumeration date
06/15/2023
Last updated
06/15/2023
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