| Organization Name: | DHHS-PHS, IHS TUCSON AREA, IHS TUCSON |
| NPI Number: | 1457321234 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KURT PRIESSMAN (ACCOUNTING AND BUDGET OFFICER) |
| Mailing Address: | Highway 86 At Topawa Road Sells |
| State: | AZ US |
| Postal Code: | 85634 |
| Phone Number: | 5203837251 |
| Fax Number: | 5203837216 |
| NPI Enumeration Date: | 01/25/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |