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Arivaca Ranch Llc
Children's Substance Abuse Rehabilitation Facility in Arivaca, Arizona
NPI 1033497276

Arivaca Ranch Llc is a Children's Substance Abuse Rehabilitation Facility based in Arivaca, AZ and is specialized in Substance Abuse Treatment, Children. Arivaca Ranch Llc practices in Arivaca, AZ. The NPI Number for Arivaca Ranch Llc is 1033497276 and holds a License No. BH-3035 (Arizona).

The current practice location address for Arivaca Ranch Llc is 38000 South Arivaca Ranch Road, Arivaca, AZ and can be reached out via phone at 877-886-9766 and via fax at 866-458-4492.

Location: 38000 South Arivaca Ranch Road, Arivaca, AZ, 85601-0547
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1033497276
Provider Name
Arivaca Ranch Llc
Credential
Provider Entity Type
Organization
Address
38000 South Arivaca Ranch Road, Arivaca, AZ, 85601-0547
Phone Number
877-886-9766
Fax Number
866-458-4492
Provider Enumeration Date
07/21/2011
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
BH-3035 01 AZ ARIZONA BEHAVIORAL HEALTH LICENSE
institution
Provider Business Practice Location Address Details
Address
38000 South Arivaca Ranch Road
City
Arivaca
State
Arizona
Zip
85601
Phone Number
877-886-9766
Fax Number
866-458-4492
person
Provider Business Mailing Address Details
Address
38000 South Arivaca Ranch Road
City
Arivaca
State
Arizona
Zip
85601
Phone Number
877-886-9766
Fax Number
866-458-4492
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
BH-3035 (Arizona)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
Substance Abuse Treatment, Children
Taxonomy
3245S0500X
License No.
BH-3035 (Arizona)
Definition
A facility or distinct part of a facility 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.
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