Aissata Keita II
Aissata Keita II is a Mental Illness Community Based Residential Treatment Facility in Tucson, Arizona. Practices as a sole proprietor. Licensed in Arizona.
- Licensed in
- AZ
- In the registry since
- 2006
Practice location Address checks out
5818 E Rosewood StTucson, AZ 85711-1533
Phone: (520) 514-2121
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Specialties & licences
| Mental Illness Community Based Residential Treatment Facility (primary) | Taxonomy 320800000X · Licence BH-2647 (AZ) |
|---|
Record details
| NPI number | 1316017817 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | November 9, 2006 |
| Last updated in NPPES | July 9, 2007 |
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