Provider First Line Business Practice Location Address: 
85 W FRANKLIN
    Provider Second Line Business Practice Location Address: 
COPE COMMUNITY SERVICES
    Provider Business Practice Location Address City Name: 
TUCSON
    Provider Business Practice Location Address State Name: 
AZ
    Provider Business Practice Location Address Postal Code: 
85701
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
520-624-9818
    Provider Business Practice Location Address Fax Number: 
    Provider Enumeration Date: 
12/28/2012