Provider First Line Business Practice Location Address:
1400 N WILMOT RD
Provider Second Line Business Practice Location Address:
EL DORADO BEHAVIORAL HEALTH
Provider Business Practice Location Address City Name:
TUCSON
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85712-4498
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-766-2693
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/13/2012