NPI: 1497135669
Provider Name: INTERMOUNTAIN CENTERS FOR HUMAN DEVELOPMENT INC.
Other Name: SUMMIT RESIDENTIAL
Classification: Substance Abuse Rehabilitation Facility - 3245S0500X
Entity Type: Organization
Specialization: Substance Abuse Treatment, Children
Address:
2502 N DODGE BLVD STE 190A
TUCSON, AZ
ZIP 85716
Phone: (520) 618-8800
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INTERMOUNTAIN CENTERS FOR HUMAN DEVELOPMENT INC. is a substance abuse treatment and children substance abuse rehabilitation facility in Tucson, AZ. The provider is a facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. INTERMOUNTAIN CENTERS FOR HUMAN DEVELOPMENT INC. NPI is 1497135669. The provider is registered as an organization entity type.
The provider Other Name Is Summit Residential.
The provider's business location address is:
2502 N DODGE BLVD STE 190A
TUCSON, AZ
ZIP 85716-671
Phone: (520) 618-8800
The provider's authorized official is Rose Lopez .
The authorized official title is President And Ceo and has the following contact phone number (520) 721-1887.
The enumeration date for this NPI number is 6/3/2015 and was last updated on 12/19/2023.