Easter Seals Blake Foundation - Tucson, AZ

Easter Seals Blake Foundation

Emotionally Disturbed Childrens' Residential Treatment Facility in Tucson, Arizona

NPI 1992136808

Easter Seals Blake Foundation is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Tucson, AZ. Easter Seals Blake Foundation practices in Tucson, AZ. The NPI Number for Easter Seals Blake Foundation is 1992136808 and holds a License No. BH4428 (Arizona).

The current practice location address for Easter Seals Blake Foundation is 3327 E Broadway Blvd, Tucson, AZ and can be reached out via phone at 520-318-0272.

Location: 3327 E Broadway Blvd, Tucson, AZ, 85710-3901

NPI Number

1992136808

Provider Name

Easter Seals Blake Foundation

Credential

Provider Entity Type

Organization

Address

3327 E Broadway Blvd, Tucson, AZ, 85710-3901

Phone Number

520-318-0272

Fax Number

Provider Enumeration Date

12/02/2013

Last Update Date

03/13/2024

Identifier	Type	State	Issuer
BH4428	01	AZ	AZ BEHAVIORAL HEALTH RESIDENTIAL FACILITY LICENSE
881681	01	AZ	AHCCCS PROVIDER

Address

3327 E Broadway Blvd

City

Tucson

State

Arizona

Zip

85716-5858

Phone Number

520-318-0272

Fax Number

Address

3327 E Broadway Blvd

City

Tucson

State

Arizona

Zip

85716-5858

Phone Number

520-318-0272

Fax Number

Type

Residential Treatment Facilities

Classification

Community Based Residential Treatment Facility, Mental Illness

Speciality

Taxonomy

320800000X

License No.

BH-4428 (Arizona)

Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Type

Residential Treatment Facilities

Classification

Residential Treatment Facility, Emotionally Disturbed Children

Speciality

Taxonomy

322D00000X

License No.

BH4428 (Arizona)

Definition

A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

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