TIM MARK HANNAH

TUCSON, AZ
NPI1790961233
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy320800000X Community Based Residential Treatment Facility, Mental Illness
(Licence: AZ  BH-2721)
Enumeration Date2008-01-15
Last Update Date2008-01-15
Business Address
Mr. TIM MARK HANNAH
4901 W CALLE DON ALFONSO
TUCSON, AZ 85757-1422
Phone number: 520-248-8838
Mailing Address
Mr. TIM MARK HANNAH
4901 W CALLE DON ALFONSO
TUCSON, AZ 85757-1422
Phone number: 520-248-8838