Organization · Type 2 NPI
Intermountain Centers for Human Development Inc.
Mental Illness Community Based Residential Treatment Facility · Tucson, AZ
NPI number
1740378181
Active
Practice location
3626 E Lee St Bldg 1
Tucson, AZ 85716-3717
Fax (520) 319-5491
Mailing address
PO Box 86537
Tucson, AZ 85754-6537
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | BH-1012 (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 1740378181
Intermountain Centers for Human Development Inc.'s National Provider Identifier is 1740378181, issued on Oct 11, 2006. 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 Oct 9, 2020.