Individual provider · Type 1 NPI

Juan M. Vasquez, NONE

Mental Illness Community Based Residential Treatment Facility · Tucson, AZ

NPI number 1912046566 Active

Practice location

9264 S. Wilt Bank Road
Tucson, AZ 85735

Call (520) 440-0630 Map

Fax (520) 319-5491

Mailing address

9264 S. Wilt Bank Rd.
Tucson, AZ 85735

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility Primary 320800000X2433 (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 1912046566

Juan M. Vasquez, NONE's National Provider Identifier is 1912046566, issued on Feb 6, 2007. 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 Jul 8, 2007.