Easter Seals Blake Foundation - Tucson, AZ

Easter Seals Blake Foundation

Mental Illness Community Based Residential Treatment Facility in Tucson, Arizona

NPI 1548691454

Easter Seals Blake Foundation is a Mental Illness Community Based Residential Treatment Facility based in Tucson, AZ. Easter Seals Blake Foundation practices in Tucson, AZ. The NPI Number for Easter Seals Blake Foundation is 1548691454 and holds a License No. BH-4429 (Arizona).

The current practice location address for Easter Seals Blake Foundation is 4454 E 3Rd St, Tucson, AZ and can be reached out via phone at 520-881-3090.

Location: 4454 E 3Rd St, Tucson, AZ, 85710-3901

NPI Number

1548691454

Provider Name

Easter Seals Blake Foundation

Credential

Provider Entity Type

Organization

Address

4454 E 3Rd St, Tucson, AZ, 85710-3901

Phone Number

520-881-3090

Fax Number

Provider Enumeration Date

12/02/2013

Last Update Date

03/09/2024

Identifier	Type	State	Issuer
881725	01	AZ	AHCCCS PROVIDER
BH4429	01	AZ	AZ BEHAVIORAL HEALTH RESIDENTIAL FACILITY LICENSE

Address

4454 E 3Rd St

City

Tucson

State

Arizona

Zip

85711-1189

Phone Number

520-881-3090

Fax Number

Address

4454 E 3Rd St

City

Tucson

State

Arizona

Zip

85711-1189

Phone Number

520-881-3090

Fax Number

Type

Residential Treatment Facilities

Classification

Community Based Residential Treatment Facility, Mental Illness

Speciality

Taxonomy

320800000X

License No.

BH-4429 (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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