| 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 | 103TA0400X Psychologist Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor Mental Health | |
| 103T00000X Psychologist | |
| 103TB0200X Psychologist Cognitive & Behavioral | |
| 103TC0700X Psychologist Clinical | |
| 103TR0400X Psychologist Rehabilitation | |
| 163WA0400X Registered Nurse Addiction (Substance Use Disorder) | |
| 163WP0808X Registered Nurse Psychiatric/Mental Health | |
| Enumeration Date | 2022-12-28 |
| Last Update Date | 2023-08-11 |