CONNECTIONS SOUTHERNAZ LLC NPI 1982362943

NPI Information

NPI: 1982362943
Provider Name: CONNECTIONS SOUTHERNAZ, LLC

Doing Business As: CRC-OUTPATIENT SERVICES

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

CLIA Number: 03D2027030

Address:
2802 E DISTRICT ST FL 1
TUCSON, AZ
ZIP 85714
Phone: (520) 301-2400
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CONNECTIONS SOUTHERNAZ, LLC is a mental health (including community mental health center) clinic center in Tucson, AZ. CONNECTIONS SOUTHERNAZ, LLC NPI is 1982362943. The provider is registered as an organization entity type.
The provider Is Doing Business As Crc-outpatient Services.

The provider's business location address is:

2802 E DISTRICT ST FL 1
TUCSON, AZ
ZIP 85714-081
Phone: (520) 301-2400

The provider's authorized official is Janice Talas-denny .
The authorized official title is Provider Network Managment Assoc and has the following contact phone number (602) 416-7647.

The CLIA number assigned to this NPI record is 03D2027030 - other - behavioral health/ crisis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/7/2021 and was last updated on 3/3/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251S00000X	Community/Behavioral Health				No
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	OTC11316	OTHER	ARIZONA	STATE LICENSE
2	106201	MEDICAID	ARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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