Supported Living Systems - Tucson, AZ

Supported Living Systems

Emotionally Disturbed Childrens' Residential Treatment Facility in Tucson, Arizona

NPI 1396893707

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 1396893707 and holds a License No. BH-2615 (Arizona).

The current practice location address for Supported Living Systems is 5752 E Waverly St, Tucson, AZ and can be reached out via phone at 520-320-0045.

Location: 5752 E Waverly St, Tucson, AZ, 85711-7112

NPI Number

1396893707

Provider Name

Supported Living Systems

Credential

Provider Entity Type

Organization

Address

5752 E Waverly St, Tucson, AZ, 85711-7112

Phone Number

520-320-0045

Fax Number

Provider Enumeration Date

01/08/2007

Last Update Date

03/08/2024

Identifier	Type	State	Issuer
BH-2615	01	AZ	AZ BEHAVIORAL LICENSE #
687824	01	AZ	AHCCCS PROVIDER #

Address

5752 E Waverly St

City

Tucson

State

Arizona

Zip

85712-3739

Phone Number

520-320-0045

Fax Number

Address

5752 E Waverly St

City

Tucson

State

Arizona

Zip

85712-3739

Phone Number

520-320-0045

Fax Number

Type

Residential Treatment Facilities

Classification

Residential Treatment Facility, Emotionally Disturbed Children

Speciality

Taxonomy

322D00000X

License No.

BH-2615 (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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