| Organization Name: | TELECARE MENTAL HEALTH SERVICES OF ARIZONA, INC |
| NPI Number: | 1073918470 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARSHALL LANGFELD (SVP, CFO) |
| Mailing Address: | 75 N Garden Ave Sierra Vista |
| State: | AZ US |
| Postal Code: | 856353805 |
| Phone Number: | 5204599929 |
| Fax Number: | 5204598152 |
| NPI Enumeration Date: | 10/28/2014 |
| NPI Last Update Date: | 04/01/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | OTC6995 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |