Pantano Behavioral Health Services, Inc. in Tucson - Adolescent And Children Mental Health

Pantano Behavioral Health Services, Inc. - NPI 1205842705

Pantano Behavioral Health Services, Inc. is a Adolescent And Children Mental Health in Tucson, Arizona. Pantano Behavioral Health Services, Inc. practices all healthcare services and medical treatments related to Adolescent And Children Mental Health. The NPI Number for Pantano Behavioral Health Services, Inc. is 1205842705. The last update date is 2012-11-14.

Pantano Behavioral Health Services, Inc.'s current location address is 5055 E Broadway Blvd Ste C104, Tucson, Arizona. You can contact this provider via phone number 5206239833 and fax number 5206239083. The mailing address for Pantano Behavioral Health Services, Inc. is 5055 E Broadway Blvd Ste C104, Tucson, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Organization Pantano Behavioral Health Services, Inc.
Address 5055 E Broadway Blvd Ste C104, Tucson, Arizona
Phone Number 5206239833
Fax Number 5206239083
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DIRECTOR O
Authorized Official Name Arendt S Marissa
Credentials CFE
Telephone Number 5206239833

NPI Number Detail

NPI Number 1205842705
Provider Enumeration Date 2006-08-01
Last Updated Date 2012-11-14

Provider Mailing Address Detail

Address 5055 E Broadway Blvd Ste C104
City Tucson
State Arizona (AZ)
Post Code 857113641
Phone Number 5206239833
Fax Number 5206239083

Provider's Primary Taxonomy Detail

Speciality Adolescent And Children Mental Health
Taxonomy 261Qm0855X
Licence No BH-2183
Definition:
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patie

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
772576 AZ AHCCCS ID

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FAQs about Pantano Behavioral Health Services, Inc.

What is the unique 10-digit identifier code issued to Pantano Behavioral Health Services, Inc. by the Centers for Medicare & Medicaid Services?

The Pantano Behavioral Health Services, Inc. has been assigned the NPI (National Provider Identifier) 1205842705 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Pantano Behavioral Health Services, Inc. is located?

The Pantano Behavioral Health Services, Inc. is situated at the following address: 5055 E Broadway Blvd Ste C104, Tucson, AZ, 857113641.

What is Pantano Behavioral Health Services, Inc.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Pantano Behavioral Health Services, Inc. is Adolescent And Children Mental Health, and the taxonomy code that categorizes this field of expertise is 261Qm0855X.

When was the Pantano Behavioral Health Services, Inc.'s 1205842705 issued?

The Pantano Behavioral Health Services, Inc.'s 1205842705 was issued on 2006-08-01.

As of what date were the details related to Pantano Behavioral Health Services, Inc. most recently updated or revised?

The information pertaining to Pantano Behavioral Health Services, Inc., including its address, specialty, and other relevant details, was last updated or revised on 2012-11-14.

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