person
Aissata Keita II
Mental Illness Community Based Residential Treatment Facility in Tucson, Arizona
NPI 1316017817

Aissata Keita II is a Mental Illness Community Based Residential Treatment Facility based in Tucson, AZ. Aissata Keita II practices in Tucson, AZ. The NPI Number for Aissata Keita II is 1316017817 and holds a License No. BH-2647 (Arizona).

The current practice location address for Aissata Keita II is 5818 E Rosewood St, Tucson, AZ and can be reached out via phone at 520-514-2121.

Location: 5818 E Rosewood St, Tucson, AZ, 85711-1533
person
Provider Profile Details
NPI Number
1316017817
Provider Name
Aissata Keita II
Credential
Provider Entity Type
Individual
Gender
Female
Address
5818 E Rosewood St, Tucson, AZ, 85711-1533
Phone Number
520-514-2121
Fax Number
Provider Enumeration Date
11/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
095265 05 AZ
institution
Provider Business Practice Location Address Details
Address
5818 E Rosewood St
City
State
Zip
85711-1533
Phone Number
520-514-2121
Fax Number
person
Provider Business Mailing Address Details
Address
5818 E Rosewood St
City
State
Zip
85711-1533
Phone Number
520-514-2121
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
License No.
BH-2647 (Arizona)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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