institution
Casa De Tucson Llc
Emotionally Disturbed Childrens' Residential Treatment Facility in Tucson, Arizona
NPI 1063749521

Casa De Tucson Llc is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Tucson, AZ. Casa De Tucson Llc practices in Tucson, AZ. The NPI Number for Casa De Tucson Llc is 1063749521 and holds a License No. BH-3098 (Arizona).

The current practice location address for Casa De Tucson Llc is 5055 W Pima Farms Rd, Tucson, AZ and can be reached out via phone at 520-572-0404.

Location: 5055 W Pima Farms Rd, Tucson, AZ, 85741-2017
institution
Provider Profile Details
NPI Number
1063749521
Provider Name
Casa De Tucson Llc
Credential
Provider Entity Type
Organization
Address
5055 W Pima Farms Rd, Tucson, AZ, 85741-2017
Phone Number
520-572-0404
Fax Number
Provider Enumeration Date
11/04/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
BH-3098 01 AZ DEPT OF HEALTH SERVICES LICENSE
institution
Provider Business Practice Location Address Details
Address
5055 W Pima Farms Rd
City
State
Zip
85741-4736
Phone Number
520-572-0404
Fax Number
person
Provider Business Mailing Address Details
Address
5055 W Pima Farms Rd
City
State
Zip
85741-4736
Phone Number
520-572-0404
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
License No.
BH-3098 (Arizona)
Definition
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.
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