Supported Living Systems in Tucson - Community Based Residential Treatment Facility, Mental Illness
Supported Living Systems - NPI 1265581516
Supported Living Systems is a Community Based Residential Treatment Facility, Mental Illness in Tucson, Arizona. Supported Living Systems practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Mental Illness. The NPI Number for Supported Living Systems is 1265581516. The last update date is 2020-08-22.
Supported Living Systems's current location address is 925 S Craycroft Rd, Tucson, Arizona. You can contact this provider via phone number 5205149888 and fax number 5205149878. The mailing address for Supported Living Systems is 925 S Craycroft Rd, Tucson, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Supported Living Systems |
|---|---|
| Address | 925 S Craycroft Rd, Tucson, Arizona |
| Phone Number | 5205149888 |
| Fax Number | 5205149878 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Eck Richard |
| Credentials | PHD |
| Telephone Number | 5205149888 |
NPI Number Detail
| NPI Number | 1265581516 |
|---|---|
| Provider Enumeration Date | 2007-01-09 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 925 S Craycroft Rd |
|---|---|
| City | Tucson |
| State | Arizona (AZ) |
| Post Code | 857117112 |
| Phone Number | 5205149888 |
| Fax Number | 5205149878 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
|---|---|
| Taxonomy | 320800000X |
| Licence No | BH-2719 |
|
Definition: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| BH-2719 | AZ | AZ BEHAVIORAL LICENSE # | |
| 122468 | AZ | AHCCCS PROVIDER # |
Post Comment/ Review Below
What is the unique provider identifier assigned to Supported Living Systems?
The Supported Living Systems has been issued the NPI (National Provider Identifier) 1265581516 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Supported Living Systems's physical address?
The Supported Living Systems is physically located at 925 S Craycroft Rd, in the city of Tucson, AZ, with the postal code 857117112.
What is Supported Living Systems's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Supported Living Systems's specialized field of practice is Community Based Residential Treatment Facility, Mental Illness, and the corresponding taxonomy code that categorizes this area of specialization is 320800000X.
On what date did the Supported Living Systems receive its 1265581516 assignment from the Centers for Medicare & Medicaid Services?
The Supported Living Systems was assigned its 1265581516 by the Centers for Medicare & Medicaid Services on 2007-01-09.
When was the information pertaining to Supported Living Systems most recently updated or revised?
The details related to Supported Living Systems, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.
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