institution
Pascua Yaqui Tribe
Emotionally Disturbed Childrens' Residential Treatment Facility in Tucson, Arizona
NPI 1467661470

Pascua Yaqui Tribe is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Tucson, AZ. Pascua Yaqui Tribe practices in Tucson, AZ. The NPI Number for Pascua Yaqui Tribe is 1467661470 and holds a License No. BH2114 (Arizona).

The current practice location address for Pascua Yaqui Tribe is 2861 W Via Hacienda, Tucson, AZ and can be reached out via phone at 520-879-6163 and via fax at 520-879-6099.

Location: 2861 W Via Hacienda, Tucson, AZ, 85757
institution
Provider Profile Details
NPI Number
1467661470
Provider Name
Pascua Yaqui Tribe
Credential
Provider Entity Type
Organization
Address
2861 W Via Hacienda, Tucson, AZ, 85757
Phone Number
520-879-6163
Fax Number
520-879-6099
Provider Enumeration Date
05/22/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
218075 05 AZ
716011 05 AZ
institution
Provider Business Practice Location Address Details
Address
2861 W Via Hacienda
City
State
Zip
85741-3424
Phone Number
520-879-6163
Fax Number
520-879-6099
person
Provider Business Mailing Address Details
Address
2861 W Via Hacienda
City
State
Zip
85741-3424
Phone Number
520-879-6163
Fax Number
520-879-6099
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
License No.
BH2114 (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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