institution
Easter Seals Blake Foundation
Mental Illness Community Based Residential Treatment Facility in Tucson, Arizona
NPI 1629409537

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 1629409537 and holds a License No. BH-4426 (Arizona).

The current practice location address for Easter Seals Blake Foundation is 5120 E Alberta Dr, Tucson, AZ and can be reached out via phone at 520-514-7480.

Location: 5120 E Alberta Dr, Tucson, AZ, 85710-3901
institution
Provider Profile Details
NPI Number
1629409537
Provider Name
Easter Seals Blake Foundation
Credential
Provider Entity Type
Organization
Address
5120 E Alberta Dr, Tucson, AZ, 85710-3901
Phone Number
520-514-7480
Fax Number
Provider Enumeration Date
12/02/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
BH4426 01 AZ AZ BEHAVIORAL HEALTH RESIDENTIAL FACILITY LICENSE
881657 01 AZ AHCCCS PROVIDER
institution
Provider Business Practice Location Address Details
Address
5120 E Alberta Dr
City
State
Zip
85711-3119
Phone Number
520-514-7480
Fax Number
person
Provider Business Mailing Address Details
Address
5120 E Alberta Dr
City
State
Zip
85711-3119
Phone Number
520-514-7480
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
License No.
BH-4426 (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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