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PASADERA BEHAVIORAL HEALTH NETWORK INC. NPI 1114286788


NPI Information

NPI: 1114286788
Provider Name: PASADERA BEHAVIORAL HEALTH NETWORK, INC.

Doing Business As: DESERT HOPE OUTPATIENT SERVICES

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
2499 E. AJO WAY
TUCSON, AZ
ZIP 85713
Phone: (520) 618-8701
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PASADERA BEHAVIORAL HEALTH NETWORK, INC. is a substance abuse rehabilitation facility in Tucson, AZ. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. PASADERA BEHAVIORAL HEALTH NETWORK, INC. NPI is 1114286788. The provider is registered as an organization entity type.
The provider Is Doing Business As Desert Hope Outpatient Services.

The provider's business location address is:

2499 E. AJO WAY
TUCSON, AZ
ZIP 85713-478
Phone: (520) 618-8701
Fax: (520) 327-9817

The provider's authorized official is Stephanie Oliver .
The authorized official title is Chief Quality Management Officer and has the following contact phone number (520) 628-3400.

The enumeration date for this NPI number is 5/16/2012 and was last updated on 8/13/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation FacilityOTC6555ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1707235MEDICAIDARIZONA
2OTC6555OTHERARIZONASTATE LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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