institution
Intermountain Centers For Human Development Inc.
Emotionally Disturbed Childrens' Residential Treatment Facility in Tucson, Arizona
NPI 1417134933

Intermountain Centers For Human Development Inc. is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Tucson, AZ. Intermountain Centers For Human Development Inc. practices in Tucson, AZ. The NPI Number for Intermountain Centers For Human Development Inc. is 1417134933 and holds a License No. BH-2914 (Arizona).

The current practice location address for Intermountain Centers For Human Development Inc. is 1310 N Speedway Pl, Tucson, AZ and can be reached out via phone at 520-731-0635. You can also correspond with Intermountain Centers For Human Development Inc. through the mailing address at PO BOX 86537, TUCSON, AZ - 85754-6537 (mailing address contact number: 520-721-1887).

Location: 1310 N Speedway Pl, Tucson, AZ, 85754-6537
institution
Provider Profile Details
NPI Number
1417134933
Provider Name
Intermountain Centers For Human Development Inc.
Credential
Provider Entity Type
Organization
Address
1310 N Speedway Pl, Tucson, AZ, 85754-6537
Phone Number
520-731-0635
Fax Number
Provider Enumeration Date
01/28/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
305538 05 AZ
BH2914 01 AZ ADHS/BRFL LICENSE
institution
Provider Business Practice Location Address Details
Address
1310 N Speedway Pl
City
State
Zip
85715-5236
Phone Number
520-731-0635
Fax Number
person
Provider Business Mailing Address Details
Address
1310 N Speedway Pl
City
State
Zip
85715-5236
Phone Number
520-731-0635
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
License No.
BH-2914 (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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