Individual
WITO MIGANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7423 E 24TH ST, TUCSON, AZ 85710-5543
(520) 613-8015
Mailing address
4000 N CENTRAL AVE STE 100, PHOENIX, AZ 85012-3520
(602) 859-7794
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
BH9696
AZ
385H00000X
Respite Care
BH9696
AZ
Other
Enumeration date
05/09/2024
Last updated
05/09/2024
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