| Cottonwood Tucson Outpatient Services | |
|
4110 W Sweetwater Dr Bldg 16 Tucson AZ 85745-9348 | |
| (520) 743-0411 | |
| (520) 743-7991 |
| Full Name | Cottonwood Tucson Outpatient Services |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 4110 W Sweetwater Dr Bldg 16, Tucson, Arizona |
| Authorized Official Name and Position | Eileen M Jacobson (DIRECTOR HEALTH INFO MGMT/COMPLIANC) |
| Authorized Official Contact | 5207432162 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cottonwood Tucson Outpatient Services 4110 W Sweetwater Dr Bldg 16 Tucson AZ 85745-9348 Ph: (520) 743-0411 | Cottonwood Tucson Outpatient Services 4110 W Sweetwater Dr Bldg 16 Tucson AZ 85745-9348 Ph: (520) 743-0411 |
| NPI Number | 1093240020 |
|---|---|
| Provider Enumeration Date | 04/27/2017 |
| Last Update Date | 04/27/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093240020 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | OTC7911 (Arizona) | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | OTC7911 (Arizona) | Primary |
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