Organization · Type 2 NPI

Marana Teen Wellness Center

Federally Qualified Health Center (FQHC) · Tucson, AZ

NPI number 1104143411 Active

Practice location

12000 W Emigh Rd
Tucson, AZ 85743-9696

Fax (520) 682-9136

Mailing address

PO Box 188
Marana, AZ 85653-0188

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400XOTC0819 (AZ)

Federally Qualified Health Center (FQHC): Definition to come...

4 other providers at this address

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About NPI 1104143411

Marana Teen Wellness Center's National Provider Identifier is 1104143411, issued on Apr 26, 2010. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Tucson, AZ. The record was last updated on Apr 26, 2010.