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Charite Home
Mental Illness Community Based Residential Treatment Facility in Tucson, Arizona
NPI 1174120703

Charite Home is a Mental Illness Community Based Residential Treatment Facility based in Tucson, AZ. Charite Home practices in Tucson, AZ. The NPI Number for Charite Home is 1174120703 and holds a License No. (Arizona).

The current practice location address for Charite Home is 6057 S Avenida Caneca, Tucson, AZ and can be reached out via phone at 520-721-1887 and via fax at 520-721-0069. You can also correspond with Charite Home through the mailing address at PO BOX 86537, TUCSON, AZ - 85754-6537 (mailing address contact number: 520-721-1887).

Location: 6057 S Avenida Caneca, Tucson, AZ, 85754-6537
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1174120703
Provider Name
Charite Home
Credential
Provider Entity Type
Organization
Address
6057 S Avenida Caneca, Tucson, AZ, 85754-6537
Phone Number
520-721-1887
Fax Number
520-721-0069
Provider Enumeration Date
10/06/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
BH6357 01 AZ BUREAU OF RESIDENTIAL FACILITY LICENSING
institution
Provider Business Practice Location Address Details
Address
6057 S Avenida Caneca
City
Tucson
State
Arizona
Zip
85706-5073
Phone Number
520-721-1887
Fax Number
520-721-0069
person
Provider Business Mailing Address Details
Address
Po Box 86537
City
Tucson
State
Arizona
Zip
85754-6537
Phone Number
520-721-1887
Fax Number
520-721-0069
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
Assisted Living, Mental Illness
Taxonomy
3104A0625X
License No.
()
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
()
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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