Terra Medical of Arizona LLC
NPI #1649014077 in Casa Grande, Arizona
Provider Information
- NPI Number
- 1649014077
- Entity Type
- Organization
- Organization Name
- Terra Medical of Arizona LLC
- Primary Specialty
- Community Based Residential Treatment Facility, Mental Illness
- Enumeration Date
- Jun 20, 2024
- Last Updated
- Jun 20, 2024
Practice Location
- Address
- 1297 E AVENIDA KINO
- City
- Casa Grande
- State
- Arizona
- ZIP Code
- 85122-1011
- Phone
- (520) 709-1586
Authorized Official
- Name
- RUSSELL APPLETON
- Title
- MANAGER
- Phone
- (602) 618-3756
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
| Non-emergency Medical Transport (VAN) |
| Community Based Residential Treatment Facility, Mental Illness |
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