| NPI | 1427761055 |
|---|---|
| Doing Business As | FOUNTAIN PLAZA TUCSON |
| Entity Type | Organization |
| Authorized Contact | CINDY PROFFITT Director Of Billing 480-712-4600 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| 103T00000X Psychologist | |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TR0400X Psychologist, Rehabilitation | |
| 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) | |
| 163WP0808X Registered Nurse, Psych/Mental Health | |
| Enumeration Date | 2022-12-28 |
| Last Update Date | 2024-12-10 |