person
Brenetta Hicks-jones
Mental Illness Community Based Residential Treatment Facility in Tucson, Arizona
NPI 1881961969

Brenetta Hicks-jones is a Mental Illness Community Based Residential Treatment Facility based in Tucson, AZ. Brenetta Hicks-jones practices in Tucson, AZ. The NPI Number for Brenetta Hicks-jones is 1881961969 and holds a License No. BH-3839 (Arizona).

The current practice location address for Brenetta Hicks-jones is 1318 S Coati Dr, Tucson, AZ and can be reached out via phone at 520-623-1022. You can also correspond with Brenetta Hicks-jones through the mailing address at 1318 S COATI DR, TUCSON, AZ - 85713-1218 (mailing address contact number: 520-623-1022).

Location: 1318 S Coati Dr, Tucson, AZ, 85713-1218
person
Provider Profile Details
NPI Number
1881961969
Provider Name
Brenetta Hicks-jones
Credential
Provider Entity Type
Individual
Gender
Female
Address
1318 S Coati Dr, Tucson, AZ, 85713-1218
Phone Number
520-623-1022
Fax Number
Provider Enumeration Date
11/17/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
BH-3938 01 AZ AZ DEPT OF HEALTH SERVICES
institution
Provider Business Practice Location Address Details
Address
1318 S Coati Dr
City
State
Zip
85713-1218
Phone Number
520-623-1022
Fax Number
person
Provider Business Mailing Address Details
Address
1318 S Coati Dr
City
State
Zip
85713-1218
Phone Number
520-623-1022
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-3839 (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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