Organization
COTTONWOOD DE TUCSON, INC
Active
Organization
COTTONWOOD DE TUCSON, INC
Active
Other names
Cottonwood de Tucson
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN C WELCH (CEO)
(520) 743-0411
Entity
Organization
Contact information
Practice address
4110 W SWEETWATER DR, BLDG 1400, TUCSON, AZ 85745-9348
(520) 743-0411
(520) 743-7991
Mailing address
4110 W SWEETWATER DR, BLDG 1400, TUCSON, AZ 85745-9348
(520) 743-0411
(520) 743-7991
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
BH-073
AZ
283Q00000X
Psychiatric Hospital
Primary
IFBH6377
AZ
324500000X
Substance Abuse Rehabilitation Facility
BH-073
AZ
3245S0500X
Children's Substance Abuse Rehabilitation Facility
BH-073
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BH073
AZ DEPT OF HEALTH SERVICE
AZ
Enumeration date
11/30/2006
Last updated
05/09/2017
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