03D2118151 CLIA NUMBER - DODGE CENTER

Laboratory Demographics

CLIA Number: 03D2118151

Facility Name: DODGE CENTER

Facility Address:
2950 N DODGE BLVD
TUCSON, AZ
ZIP 85716
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Facility Phone Number: (480) 831-7566

Facility Type: OTHER

Certificate Type: Waiver

NPI Number: 1871049775

Taxonomy: 320800000X - Community Based Residential Treatment Facility, Mental Illness
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

CLIA Record

Field Name	Field Value
CLIA Number	03D2118151
LAB Type	OTHER
Facility Name	DODGE CENTER
Street	2950 N DODGE BLVD
City	TUCSON
State	AZ
ZIP	85716
Phone	(480) 831-7566

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This page was last updated on: 5/11/2023