Organization Name: | THE BELL VIEW HOME |
NPI Number: | 1447436506 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | VICTOR MANUEL PONDECA (OWNER) |
Mailing Address: | 9140 E Bellevue St Tucson |
State: | AZ US |
Postal Code: | 857155704 |
Phone Number: | 5204093991 |
Fax Number: | 5202038347 |
NPI Enumeration Date: | 01/18/2008 |
NPI Last Update Date: | 01/18/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320800000X |
License Number: | BH-2948 |
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. |