Mr. Juan M Vasquez, NONE - Tucson, AZ

Mr. Juan M Vasquez, NONE

Mental Illness Community Based Residential Treatment Facility in Tucson, Arizona

NPI 1912046566

Juan M Vasquez is a Mental Illness Community Based Residential Treatment Facility based in Tucson, AZ. Juan M Vasquez practices in Tucson, AZ and has the professional credentials of NONE. The NPI Number for Juan M Vasquez is 1912046566 and holds a License No. 2433 (Arizona).

The current practice location address for Juan M Vasquez is 9264 S. Wilt Bank Road, Tucson, AZ and can be reached out via phone at 520-440-0630 and via fax at 520-319-5491.

Location: 9264 S. Wilt Bank Road, Tucson, AZ, 85735

NPI Number

1912046566

Provider Name

Juan M Vasquez

Credential

NONE

Provider Entity Type

Individual

Gender

Male

Address

9264 S. Wilt Bank Road, Tucson, AZ, 85735

Phone Number

520-440-0630

Fax Number

520-319-5491

Provider Enumeration Date

02/06/2007

Last Update Date

03/08/2024

Identifier	Type	State	Issuer
2433	01	AZ	BEHAVIORAL HEALTH NUMBER

Address

9264 S. Wilt Bank Road

City

Tucson

State

Arizona

Zip

85735

Phone Number

520-440-0630

Fax Number

520-319-5491

Address

9264 S. Wilt Bank Road

City

Tucson

State

Arizona

Zip

85735

Phone Number

520-440-0630

Fax Number

520-319-5491

Type

Residential Treatment Facilities

Classification

Community Based Residential Treatment Facility, Mental Illness

Speciality

Taxonomy

320800000X

License No.

2433 (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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