Mark Youth and Family Care Campus Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1054 Issued in AZ

Legal business name

MARK YOUTH AND FAMILY CARE CAMPUS INC.

Practice address

4653 E Pima St
Tucson, AZ 85712-3437

Phone

(520) 326-6182

Fax

(520) 326-9034

NPI assigned

May 7, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. John Leggio, LISAC

Title

Ceo

Phone

(520) 326-6182

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238544000000",
    "number": "1235342205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4653 E PIMA ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857123437",
            "telephone_number": "520-326-6182",
            "fax_number": "520-326-9034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4653 E PIMA ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857123437",
            "telephone_number": "520-326-6182",
            "fax_number": "520-326-9034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK YOUTH AND FAMILY CARE CAMPUS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2009-04-01",
        "status": "A",
        "authorized_official_last_name": "LEGGIO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "520-326-6182",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LISAC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "1054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Community/Behavioral Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.