Organization · Type 2 NPI
Intermountain Centers for Human Development
Community Health Clinic/Center · Tucson, AZ
NPI number
1861042012
Active
Practice location
401 N Bonita Ave
Tucson, AZ 85709-5001
Fax (520) 721-0069
Mailing address
PO Box 86537
Tucson, AZ 85754-6537
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center | 261Q00000X | None listed |
| Community Health Clinic/Center Primary | 261QC1500X | None listed |
Community Health Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1861042012
Intermountain Centers for Human Development's National Provider Identifier is 1861042012, issued on Sep 18, 2019. The primary taxonomy on file is Community Health Clinic/Center (261QC1500X), and the practice location is in Tucson, AZ. The record was last updated on Apr 29, 2020.