Intermountain Centers For Human Development Inc. - Tucson, AZ

Intermountain Centers For Human Development Inc.

Children's Substance Abuse Rehabilitation Facility in Tucson, Arizona

NPI 1497135669

Intermountain Centers For Human Development Inc. is a Children's Substance Abuse Rehabilitation Facility based in Tucson, AZ and is specialized in Substance Abuse Treatment, Children. Intermountain Centers For Human Development Inc. practices in Tucson, AZ. The NPI Number for Intermountain Centers For Human Development Inc. is 1497135669 and holds a License No. BH-4537 (Arizona).

The current practice location address for Intermountain Centers For Human Development Inc. is 2502 N Dodge Blvd Ste 190A, Tucson, AZ and can be reached out via phone at 520-618-8800.

Location: 2502 N Dodge Blvd Ste 190A, Tucson, AZ, 85754-6537

NPI Number

1497135669

Provider Name

Intermountain Centers For Human Development Inc.

Credential

Provider Entity Type

Organization

Address

2502 N Dodge Blvd Ste 190A, Tucson, AZ, 85754-6537

Phone Number

520-618-8800

Fax Number

Provider Enumeration Date

06/03/2015

Last Update Date

03/09/2024

Identifier	Type	State	Issuer
BH9011	01	AZ	STATE LICENSE

Address

2502 N Dodge Blvd Ste 190A

City

Tucson

State

Arizona

Zip

85716-2671

Phone Number

520-618-8800

Fax Number

Address

2502 N Dodge Blvd Ste 190A

City

Tucson

State

Arizona

Zip

85716-2671

Phone Number

520-618-8800

Fax Number

Type

Residential Treatment Facilities

Classification

Community Based Residential Treatment Facility, Mental Illness

Speciality

Taxonomy

320800000X

License No.

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Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Type

Residential Treatment Facilities

Classification

Substance Abuse Rehabilitation Facility

Speciality

Substance Abuse Treatment, Children

Taxonomy

3245S0500X

License No.

BH-4537 (Arizona)

Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.

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