NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1780788240 |   |   |   | PASADERA BEHAVIORAL HEALTH NETWORK DBA LEVEL II DETOXIFICATION | 2502 N. DODGE BLVD. | TUCSON | AZ | 857162675 |
1902996150 | KELLER | DIANNE |   |   | 2502 N DODGE BLVD | TUCSON | AZ | 857162671 |
1316045750 | ONATE | LARRY | G |   | 2502 N DODGE BLVD | TUCSON | AZ | 857162671 |