institution
Supported Living Systems
Emotionally Disturbed Childrens' Residential Treatment Facility in Tucson, Arizona
NPI 1093864340

Supported Living Systems is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Tucson, AZ. Supported Living Systems practices in Tucson, AZ. The NPI Number for Supported Living Systems is 1093864340 and holds a License No. BH-1883 (Arizona).

The current practice location address for Supported Living Systems is 5120 E Alberta Dr, Tucson, AZ and can be reached out via phone at 520-514-7840.

Location: 5120 E Alberta Dr, Tucson, AZ, 85711-7112
institution
Provider Profile Details
NPI Number
1093864340
Provider Name
Supported Living Systems
Credential
Provider Entity Type
Organization
Address
5120 E Alberta Dr, Tucson, AZ, 85711-7112
Phone Number
520-514-7840
Fax Number
Provider Enumeration Date
01/09/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
593493 01 AZ AHCCS PROVIDER #
BH-1883 01 AZ AZ BEHAVIORAL LICENSE #
institution
Provider Business Practice Location Address Details
Address
5120 E Alberta Dr
City
State
Zip
85711-3119
Phone Number
520-514-7840
Fax Number
person
Provider Business Mailing Address Details
Address
5120 E Alberta Dr
City
State
Zip
85711-3119
Phone Number
520-514-7840
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
License No.
BH-1883 (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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