Sendero De Sonora Inc.

LBN: Sendero De Sonora Inc.
Sendero De Sonora Inc. is an health care organization with primary practice located at 2502 N Dodge Blvd Suite 160, Tucson AZ 85716-2671. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty. Sendero De Sonora Inc. can be contacted via phone (520) 618-8901, or through Wiese, George via phone (520) 870-6618.

Contact Information

Primary practice address
2502 N Dodge Blvd Suite 160 Tucson AZ 85716-2671
Phone: (520) 618-8901
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wiese, George
Phone: (520) 870-6618

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X BHH2327 Arizona

Profile Details

NPI number 1538346275
LBN Legal business name Sendero De Sonora Inc.
DBA Doing business as
Authorized official Wiese, George
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 24th, 2008
Last updated Jan 24th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538346275 NPPES
Arizona MEDICAID 827420-01

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