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Organization

BANNER UNIVERSITY MEDICINE CRISIS RESPONSE CENTER LLC

Active
Parent organization
BANNER HEALTH
Organization subpart
Yes

Provider details

NPI number
Legal business name
BANNER HEALTH
Authorized official
DENNIS LARAWAY (CFO)
(602) 747-4000
Entity
Organization

Contact information

Practice address
2802 E DISTRICT ST, TUCSON, AZ 85714-2081
(602) 253-5100
Mailing address
2901 N CENTRAL AVE STE 160, PHOENIX, AZ 85012-2702

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
261QM0855X
Adolescent and Children Mental Health Clinic/Center

Other

Enumeration date
09/18/2015
Last updated
12/28/2021
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