Organization
COYOTE TASK FORCE
Active
Other names
Our Place Clubhouse
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF GROBE (EXECUTIVE DIRECTOR)
(520) 886-5553
Entity
Organization
Contact information
Practice address
66 E PENNINGTON STREET, COYOTE TASKFORCE CORP, TUCSON, AZ 85701
(520) 884-5553
(520) 670-1496
Mailing address
66 E PENNINGTON STREET, COYOTE TASKFORCE CORP, TUCSON, AZ 85701
(520) 884-5553
(520) 670-1496
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/04/2006
Last updated
01/08/2021
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