person
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. You can also correspond with Juan M Vasquez through the mailing address at 9264 S. WILT BANK RD., TUCSON, AZ - 85735 (mailing address contact number: 520-440-0630).

Location: 9264 S. Wilt Bank Road, Tucson, AZ, 85735
person
Provider Profile Details
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
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Provider's Legacy Identifiers
Identifier Type State Issuer
2433 01 AZ BEHAVIORAL HEALTH NUMBER
institution
Provider Business Practice Location Address Details
Address
9264 S. Wilt Bank Road
City
State
Zip
85735
Phone Number
520-440-0630
Fax Number
520-319-5491
person
Provider Business Mailing Address Details
Address
9264 S. Wilt Bank Road
City
State
Zip
85735
Phone Number
520-440-0630
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.
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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