Organization · Type 2 NPI

Intermountain Centers for Human Development Inc.

Children's Substance Abuse Rehabilitation Facility · Tucson, AZ

NPI number 1497135669 Active

Practice location

2502 N Dodge Blvd Ste 190A
Tucson, AZ 85716-2671

Mailing address

PO Box 86537
Tucson, AZ 85754-6537

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility 320800000XBH-4537 (AZ)
Children's Substance Abuse Rehabilitation Facility Primary 3245S0500XNone listed

Children's Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.

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About NPI 1497135669

Intermountain Centers for Human Development Inc.'s National Provider Identifier is 1497135669, issued on Jun 3, 2015. The primary taxonomy on file is Children's Substance Abuse Rehabilitation Facility (3245S0500X), and the practice location is in Tucson, AZ. The record was last updated on Dec 19, 2023.