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

TaxonomyCodeLicense
Clinic/Center 261Q00000XNone listed
Community Health Clinic/Center Primary 261QC1500XNone listed

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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.