Organization Name: | PASADERA BEHAVIORAL HEALTH NETWORK DBA LEVEL II DETOXIFICATION |
NPI Number: | 1780788240 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GROVER GLENN (DIRECTOR OF QM) |
Mailing Address: | 2950 N Dodge Blvd. Tucson |
State: | AZ US |
Postal Code: | 85716 |
Phone Number: | 5206245272 |
Fax Number: | 5206284023 |
NPI Enumeration Date: | 09/12/2006 |
NPI Last Update Date: | 09/19/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 324500000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Substance Abuse Rehabilitation Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |