| Sagrado Wellness Inc. | |
|
2030 E Broadway Blvd Ste 12 Tucson AZ 85719-5907 | |
| (520) 535-3194 | |
| Not Available |
| Full Name | Sagrado Wellness Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2030 E Broadway Blvd Ste 12, Tucson, Arizona |
| Authorized Official Name and Position | Faviola Augustin (PRESIDENT / EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5205353194 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sagrado Wellness Inc. Po Box 43492 Tucson AZ 85733-3492 Ph: (520) 535-3194 | Sagrado Wellness Inc. 2030 E Broadway Blvd Ste 12 Tucson AZ 85719-5907 Ph: (520) 535-3194 |
| NPI Number | 1528703790 |
|---|---|
| Provider Enumeration Date | 05/03/2022 |
| Last Update Date | 01/23/2025 |
| Certification Date | 01/23/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528703790 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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