Individual provider · Type 1 NPI
Brenetta Hicks-Jones
Mental Illness Community Based Residential Treatment Facility · Tucson, AZ
NPI number
1881961969
Active
Practice location
1318 S Coati Dr
Tucson, AZ 85713-1218
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | BH-3839 (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 1881961969
Brenetta Hicks-Jones's National Provider Identifier is 1881961969, issued on Nov 17, 2011. 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 Nov 17, 2011.