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Cottonwood De Tucson, Inc
Children's Substance Abuse Rehabilitation Facility in Tucson, Arizona
NPI 1902974934

Cottonwood De Tucson, Inc is a Children's Substance Abuse Rehabilitation Facility based in Tucson, AZ and is specialized in Substance Abuse Treatment, Children. Cottonwood De Tucson, Inc practices in Tucson, AZ. The NPI Number for Cottonwood De Tucson, Inc is 1902974934 and holds a License No. (Arizona).

The current practice location address for Cottonwood De Tucson, Inc is 4110 W Sweetwater Dr, Tucson, AZ and can be reached out via phone at 520-743-0411 and via fax at 520-743-7991.

Location: 4110 W Sweetwater Dr, Tucson, AZ, 85745-9348
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1902974934
Provider Name
Cottonwood De Tucson, Inc
Credential
Provider Entity Type
Organization
Address
4110 W Sweetwater Dr, Tucson, AZ, 85745-9348
Phone Number
520-743-0411
Fax Number
520-743-7991
Provider Enumeration Date
11/30/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
BH073 01 AZ AZ DEPT OF HEALTH SERVICE
institution
Provider Business Practice Location Address Details
Address
4110 W Sweetwater Dr
City
Tucson
State
Arizona
Zip
85745-9348
Phone Number
520-743-0411
Fax Number
520-743-7991
person
Provider Business Mailing Address Details
Address
4110 W Sweetwater Dr
City
Tucson
State
Arizona
Zip
85745-9348
Phone Number
520-743-0411
Fax Number
520-743-7991
person
Provider's Taxonomy Details 1
Type
Hospitals
Classification
Psychiatric Hospital
Speciality
-
Taxonomy
283Q00000X
License No.
IFBH6377 (Arizona)
Definition
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
BH-073 (Arizona)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
person
Provider's Taxonomy Details 3
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
Substance Abuse Treatment, Children
Taxonomy
3245S0500X
License No.
(Arizona)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.
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