Provider Demographics
NPI:1053044008
Name:NEW SEASONS BEHAVIORAL HEALTH LLC
Entity Type:Organization
Organization Name:NEW SEASONS BEHAVIORAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER NP
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:ETORI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-369-1862
Mailing Address - Street 1:6607 E HAWK DR
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85730-3249
Mailing Address - Country:US
Mailing Address - Phone:520-369-1862
Mailing Address - Fax:
Practice Address - Street 1:6607 E HAWK DR
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85730-3249
Practice Address - Country:US
Practice Address - Phone:520-369-1862
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-07
Last Update Date:2022-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty