Organization Name: | CASA DE LOS NINOS |
NPI Number: | 1629105705 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DENISE HAUSLER (DIRECTOR OF CHILD AND FAMILY RESOUR) |
Mailing Address: | 1101 N 4th Ave 1138 N. 5th Ave. Tucson |
State: | AZ US |
Postal Code: | 857057467 |
Phone Number: | 5206245600 |
Fax Number: | 5206232443 |
NPI Enumeration Date: | 02/27/2007 |
NPI Last Update Date: | 04/22/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | UNC-1216 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |