Individual
CASEY PARTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2625 N NORTON AVE, TUCSON, AZ 85719-3234
(845) 549-3123
Mailing address
2625 N NORTON AVE, TUCSON, AZ 85719-3234
(845) 549-3123
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
BH5306
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BH5306
AZ DEPT. OF HEALTH SERVICES
AZ
Enumeration date
12/12/2017
Last updated
12/12/2017
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