IN BALANCE SOBER LIVING INC. NPI 1720735202

NPI Information

NPI: 1720735202
Provider Name: IN BALANCE SOBER LIVING, INC.
Classification: Clinic/Center - 261QR0401X
Entity Type: Organization

Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

CLIA Number: 03D2233183

Address:
2601 N CAMPBELL AVE STE 205
TUCSON, AZ
ZIP 85719
Phone: (520) 795-5200
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IN BALANCE SOBER LIVING, INC. is a rehabilitation and comprehensive outpatient rehabilitation facility (corf) clinic center in Tucson, AZ. IN BALANCE SOBER LIVING, INC. NPI is 1720735202. The provider is registered as an organization entity type.

The provider's business location address is:

2601 N CAMPBELL AVE STE 205
TUCSON, AZ
ZIP 85719-167
Phone: (520) 795-5200

The provider's authorized official is Anthony Barrasso .
The authorized official title is Coo and has the following contact phone number (520) 722-9631.

The CLIA number assigned to this NPI record is 03D2233183 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/4/2022 and was last updated on 7/28/2023.

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
1	324500000X	Substance Abuse Rehabilitation Facility				No
2	261QR0401X	Clinic/Center	Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)			Yes

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

NPI Synchronization or Removal

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