| Mirasol, Inc. | |
|
3116 N Swan Rd Tucson AZ 85712-1227 | |
| (520) 546-3200 | |
| (520) 546-3205 |
| Full Name | Mirasol, Inc. |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 3116 N Swan Rd, Tucson, Arizona |
| Authorized Official Name and Position | Jay Lester (DIRECTOR) |
| Authorized Official Contact | 5205463200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mirasol, Inc. 2954 N Campbell Ave # 157 Tucson AZ 85719-2813 Ph: (520) 546-3200 | Mirasol, Inc. 3116 N Swan Rd Tucson AZ 85712-1227 Ph: (520) 546-3200 |
| NPI Number | 1689913527 |
|---|---|
| Provider Enumeration Date | 02/13/2013 |
| Last Update Date | 04/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689913527 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | OTC 6713 (Arizona) | Primary |
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