Organization
AVE FENIX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMEN Y SANTIAGO (OWNER)
(520) 370-0522
Entity
Organization
Contact information
Practice address
6252 E 35TH ST, TUCSON, AZ 85711-6915
(520) 771-9919
(520) 771-9963
Mailing address
6252 E 35TH ST, TUCSON, AZ 85711-6915
(520) 771-9919
(520) 771-9963
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/15/2021
Last updated
11/15/2021
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