NPI 1104122902 INTERMOUNTAIN CENTERS FOR HUMAN DEVELOPMENT TUCSON AZ. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Intermountain Centers For Human Development - NPI: 1104122902

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Organization Name: INTERMOUNTAIN CENTERS FOR HUMAN DEVELOPMENT
NPI Number: 1104122902
Entity Type Code: Organizational (2)
Authorized Official Name: NICOLE WILLIAMS
(A/R SPEC)
Mailing Address: 4025 N Drake Pl
Tucson
State: AZ US
Postal Code: 857498299
Phone Number: 5207211887
Fax Number: 5204074397
NPI Enumeration Date: 01/27/2011
NPI Last Update Date: 01/27/2011
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 320800000X
License Number: BH-3736
Healthcare Provider Taxonomy:
(Secondary)
Y
State: AZ
Taxonomy Type: Residential Treatment Facilities
Taxonomy Classification: Community Based Residential Treatment Facility, Mental Illness
Taxonomy Specialization:
Taxonomy Definition:
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.


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