Individual provider · Type 1 NPI

Jean Gasore

Mental Illness Community Based Residential Treatment Facility · Tucson, AZ

NPI number 1194588293 Active

Practice location

9840 E Celeste Dr
Tucson, AZ 85730-3037

Call (520) 339-1149 Map

Mailing address

4000 N Central Ave Ste 100
Phoenix, AZ 85012-3520

Specialties and licenses

TaxonomyCodeLicense
Respite Care 385H00000XBH9657 (AZ)
Mental Illness Community Based Residential Treatment Facility Primary 320800000XBH9657 (AZ)

Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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About NPI 1194588293

Jean Gasore's National Provider Identifier is 1194588293, issued on Feb 1, 2024. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Tucson, AZ. The record was last updated on May 1, 2024.