PASCUA YAQUI TRIBE PATH TTP NPI 1588879159

NPI Information

PASCUA YAQUI TRIBE PATH TTP 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. PASCUA YAQUI TRIBE PATH TTP NPI is 1588879159. The provider is registered as an organization entity type.

The provider's business location address is:

7490 S CAMINO DE OESTE
7402 S. CAMINO VAHCOM
TUCSON, AZ
ZIP 85746-308
Phone: (520) 879-6060
Fax: (520) 879-6099

The provider's authorized official is Rosa M Rivera .
The authorized official title is Business Manager and has the following contact phone number (520) 879-6060.

The enumeration date for this NPI number is 5/14/2007 and was last updated on 8/22/2020.

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:

Other Identifiers

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

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