OrganizationActive
Intermountain Centers for Human Development
NPI 1861042012 · Community Health Clinic/Center · Tucson, AZ
Provider details
- NPI number
- 1861042012
- Entity type
- Organization
- Primary specialty
- Community Health Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Rose Lopez, President and Ceo
Practice location
401 N Bonita Ave
Tucson, AZ 85709-5001
Phone: (520) 571-6466
Fax: (520) 721-0069
Mailing address
Po Box 86537
Tucson, AZ 85754-6537
Registry dates
- Enumerated
- 2019-09-18
- Last updated
- 2020-04-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.