institution
Intermountain Centers For Human Development
Community Health Clinic/Center in Tucson, Arizona
NPI 1861042012

Intermountain Centers For Human Development is a Community Health Clinic/Center based in Tucson, AZ and is specialized in Community Health. Intermountain Centers For Human Development practices in Tucson, AZ. The NPI Number for Intermountain Centers For Human Development is 1861042012 and holds a License No. (Arizona).

The current practice location address for Intermountain Centers For Human Development is 401 N Bonita Ave, Tucson, AZ and can be reached out via phone at 520-571-6466 and via fax at 520-721-0069.

Location: 401 N Bonita Ave, Tucson, AZ, 85754-6537
institution
Provider Profile Details
NPI Number
1861042012
Provider Name
Intermountain Centers For Human Development
Credential
Provider Entity Type
Organization
Address
401 N Bonita Ave, Tucson, AZ, 85754-6537
Phone Number
520-571-6466
Fax Number
520-721-0069
Provider Enumeration Date
09/18/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
OTC9948 01 AZ ADHS/BMFL LICENSE
146445 05 AZ
institution
Provider Business Practice Location Address Details
Address
401 N Bonita Ave
City
State
Zip
85709-5001
Phone Number
520-571-6466
Fax Number
520-721-0069
person
Provider Business Mailing Address Details
Address
401 N Bonita Ave
City
State
Zip
85709-5001
Phone Number
520-571-6466
Fax Number
520-721-0069
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Community Health
Taxonomy
License No.
()
Definition
Definition to come...
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