Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ibrahim Kreso

Individual provider Mental Illness Community Based Residential Treatment Facility · NPI 1346548385

Ibrahim Kreso 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
2011
Specialties on file
2
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Practice location Address checks out

121 E Four Horses Pl
Tucson, AZ 85704-7210
Phone: (520) 742-5913
Fax: (520) 742-5913
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Respite Care (primary) Taxonomy 385H00000X · Licence BH3784 (AZ)
Mental Illness Community Based Residential Treatment Facility Taxonomy 320800000X · Licence BH-3784 (AZ)

Record details

NPI number1346548385
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 28, 2011
Last updated in NPPESOctober 18, 2019
Mailing address121 E Four Horses Pl, Tucson, AZ 85704-7210

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