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CASA DE TUCSON NPI 1790798924


NPI Information

NPI: 1790798924
Provider Name: CASA DE TUCSON
Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
3700 W GAILEY DR
TUCSON, AZ
ZIP 85741
Phone: (520) 572-0404
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CASA DE TUCSON is a residential treatment facility emotionally disturbed children in Tucson, AZ. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. CASA DE TUCSON NPI is 1790798924. The provider is registered as an organization entity type.

The provider's business location address is:

3700 W GAILEY DR
TUCSON, AZ
ZIP 85741-017
Phone: (520) 572-0404
Fax: (520) 572-0776

The provider's authorized official is Anne N Howarth .
The authorized official title is Owner/administrator and has the following contact phone number (520) 572-0404.

The enumeration date for this NPI number is 8/15/2006 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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenBH-1941ARIZONAYes

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
157990OTHERARIZONAAHCCCS

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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