DEVEREUX ARIZONA NPI 1255983037

NPI Information

DEVEREUX ARIZONA is a community based residential treatment facility mental illness in Tucson, AZ. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. DEVEREUX ARIZONA NPI is 1255983037. The provider is registered as an organization entity type.

The provider's business location address is:

2000 E SPRING ST
TUCSON, AZ
ZIP 85719-428
Phone: (520) 433-4951

The provider's authorized official is Lane Martin-barker .
The authorized official title is Executive Director and has the following contact phone number (602) 283-1573.

The CLIA number assigned to this NPI record is 03D2199487 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/12/2019 and was last updated on 7/12/2019.

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:

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