| La Frontera Center, Inc. | |
|
1210 E Pennsylvania St Tucson AZ 85714-1675 | |
| (520) 741-2351 | |
| (520) 741-2191 |
| Full Name | La Frontera Center, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1210 E Pennsylvania St, Tucson, Arizona |
| Authorized Official Name and Position | Kathy Wells (COO) |
| Authorized Official Contact | 5208385501 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| La Frontera Center, Inc. 504 W 29th St Tucson AZ 85713-3353 Ph: (520) 838-5600 | La Frontera Center, Inc. 1210 E Pennsylvania St Tucson AZ 85714-1675 Ph: (520) 741-2351 |
| NPI Number | 1679674840 |
|---|---|
| Provider Enumeration Date | 09/26/2006 |
| Last Update Date | 07/12/2024 |
| Certification Date | 07/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679674840 | NPI | - | NPPES |
| 057533 | Medicaid | AZ | |
| OTC5989 | Other | AZ | BH LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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