Individual provider · Type 1 NPI

Lydiane Pamboud

Mental Illness Community Based Residential Treatment Facility · Tucson, AZ

NPI number 1730041336 Active

Practice location

2048 S Mcconnell Dr
Tucson, AZ 85710-8088

Call (520) 257-9744 Map

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Respite Care 385H00000XADBH20008 (AZ)
Mental Illness Community Based Residential Treatment Facility Primary 320800000XADBH20008 (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 1730041336

Lydiane Pamboud's National Provider Identifier is 1730041336, issued on Dec 2, 2025. 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 Dec 2, 2025.