person
Mr. Tim Mark Hannah
Mental Illness Community Based Residential Treatment Facility in Tucson, Arizona
NPI 1790961233

Tim Mark Hannah is a Mental Illness Community Based Residential Treatment Facility based in Tucson, AZ. Tim Mark Hannah practices in Tucson, AZ. The NPI Number for Tim Mark Hannah is 1790961233 and holds a License No. BH-2721 (Arizona).

The current practice location address for Tim Mark Hannah is 4901 W Calle Don Alfonso, Tucson, AZ and can be reached out via phone at 520-248-8838. You can also correspond with Tim Mark Hannah through the mailing address at 4901 W CALLE DON ALFONSO, TUCSON, AZ - 85757-1422 (mailing address contact number: 520-248-8838).

Location: 4901 W Calle Don Alfonso, Tucson, AZ, 85757-1422
person
Provider Profile Details
NPI Number
1790961233
Provider Name
Tim Mark Hannah
Credential
Provider Entity Type
Individual
Gender
Male
Address
4901 W Calle Don Alfonso, Tucson, AZ, 85757-1422
Phone Number
520-248-8838
Fax Number
Provider Enumeration Date
01/15/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4901 W Calle Don Alfonso
City
State
Zip
85757-1422
Phone Number
520-248-8838
Fax Number
person
Provider Business Mailing Address Details
Address
4901 W Calle Don Alfonso
City
State
Zip
85757-1422
Phone Number
520-248-8838
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-2721 (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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