| La Frontera Center, Inc. | |
|
6401 S. Country Club, #157 Tucson AZ 85706 | |
| (520) 807-6040 | |
| (520) 807-1377 |
| Full Name | La Frontera Center, Inc. |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 6401 S. Country Club, #157, 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. 502 W. 29th Street Tucson AZ 85713-3353 Ph: (520) 884-9920 | La Frontera Center, Inc. 6401 S. Country Club, #157 Tucson AZ 85706 Ph: (520) 807-6040 |
| NPI Number | 1699876532 |
|---|---|
| Provider Enumeration Date | 09/25/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699876532 | NPI | - | NPPES |
| 886525 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | BH-2455 (Arizona) | Primary |
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