Whalio Doctors

NPI 1013705458

Arizona Community Support Services INC

Organisation Mental Illness Community Based Residential Treatment Facility Tucson, AZ

Practice location

Address
5142 S Fox Trot Dr, Tucson, AZ 85746-1171
Phone
(520) 891-2611
Mailing address
4934 E Broadway Blvd, Tucson, AZ 85711-3612

Authorised official

Name
Sahra Hirsi
Title
Program Adminstrator
Phone
(520) 891-2611

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320800000X

Registry record

NPI
1013705458
Entity type
Organization
NPI issued
26 Apr 2025
Record last updated
26 Apr 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.