Mr. Tim Mark Hannah
Mr. Tim Mark Hannah 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
- 2008
Practice location Address checks out
4901 W Calle Don AlfonsoTucson, AZ 85757-1422
Phone: (520) 248-8838
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Specialties & licences
| Mental Illness Community Based Residential Treatment Facility (primary) | Taxonomy 320800000X · Licence BH-2721 (AZ) |
|---|
Record details
| NPI number | 1790961233 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 15, 2008 |
| Last updated in NPPES | January 15, 2008 |
| Mailing address | 4901 W Calle Don Alfonso, Tucson, AZ 85757-1422 |
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