institution
Intermountain Centers For Human Development Inc.
Mental Illness Community Based Residential Treatment Facility in Tucson, Arizona
NPI 1740378181

Intermountain Centers For Human Development Inc. is a Mental Illness Community Based 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 1740378181 and holds a License No. BH-1012 (Arizona).

The current practice location address for Intermountain Centers For Human Development Inc. is 3626 E Lee St Bldg 1, Tucson, AZ and can be reached out via phone at 520-319-5477 and via fax at 520-319-5491. 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: 3626 E Lee St Bldg 1, Tucson, AZ, 85754-6537
institution
Provider Profile Details
NPI Number
1740378181
Provider Name
Intermountain Centers For Human Development Inc.
Credential
Provider Entity Type
Organization
Address
3626 E Lee St Bldg 1, Tucson, AZ, 85754-6537
Phone Number
520-319-5477
Fax Number
520-319-5491
Provider Enumeration Date
10/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
199176 05 AZ
BH1012 01 AZ STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
3626 E Lee St Bldg 1
City
State
Zip
85716-3717
Phone Number
520-319-5477
Fax Number
520-319-5491
person
Provider Business Mailing Address Details
Address
3626 E Lee St Bldg 1
City
State
Zip
85716-3717
Phone Number
520-319-5477
Fax Number
520-319-5491
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
License No.
BH-1012 (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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