MEDICARE: ARIZONA'S CHILDREN ASSOCIATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0855X	Adolescent and Children Mental Health Clinic/Center	OTC6955	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	781943	OTHER	AZ	AHCCCS

General Provider Information

NPI Number	:	1720324981
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARIZONA'S CHILDREN ASSOCIATION

Provider Business Mailing Address
First Line	:	4750 N ORACLE RD STE 106
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85705-1676
Country	:	US
Telephone Number	:	602-234-3733
Fax Number	:	602-234-1252

Provider Business Practice Location Address
First Line	:	4750 N ORACLE RD STE 106
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85705-1676
Country	:	US
Telephone Number	:	602-234-3733
Fax Number	:	602-234-1252

Authorized Official
Title or Position	:	PRESIDENT & CEO
Name	:	MS. TRACY THURSTON
Credential	:	MC, LPC
Telephone Number	:	602-234-3733

Provider Enumeration Date	:	12/17/2012
Last Update Date	:	01/06/2026

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