Provider First Line Business Practice Location Address: 
7490 S CAMINO DE OESTE
    Provider Second Line Business Practice Location Address: 
CSBEHAVIORAL HEALTH DEPARTMENT
    Provider Business Practice Location Address City Name: 
TUCSON
    Provider Business Practice Location Address State Name: 
AZ
    Provider Business Practice Location Address Postal Code: 
85746-9308
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
520-879-6060
    Provider Business Practice Location Address Fax Number: 
520-879-6099
    Provider Enumeration Date: 
03/05/2007