CANYON BEHAVIORAL HEALTH LLC DBA MONTARE BEHAVIORAL HEALTH NPI 1396315610

NPI Information

  • NPI: 1396315610
  • Provider Name: CANYON BEHAVIORAL HEALTH LLC DBA MONTARE BEHAVIORAL HEALTH
  • Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
  • Entity Type: Organization
  • CLIA Number: 03D2231124
  • Address: 750 E FOOTHILLS DR
    TUCSON, AZ
    ZIP 85718
  • Phone: (818) 299-3602

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NPI Details

CANYON BEHAVIORAL HEALTH LLC DBA MONTARE BEHAVIORAL HEALTH 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. CANYON BEHAVIORAL HEALTH LLC DBA MONTARE BEHAVIORAL HEALTH NPI is 1396315610. The provider is registered as an organization entity type.

The provider's business location address is:

750 E FOOTHILLS DR
TUCSON, AZ
ZIP 85718-747
Phone: (818) 299-3602

The provider's authorized official is Elliott Liebhard .
The authorized official title is Owner and has the following contact phone number (917) 374-4215.

The CLIA number assigned to this NPI record is 03D2231124 - other - mental health residential with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/29/2021 and was last updated on 10/4/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251S00000XCommunity/Behavioral HealthNo
2324500000XSubstance Abuse Rehabilitation FacilityNo
3320800000XCommunity Based Residential Treatment Facility, Mental IllnessYes

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: 3/30/2025

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