Intermountain Centers For Human Development Inc. in Tucson - Residential Treatment Facility, Emotionally Disturbed Children
Intermountain Centers For Human Development Inc. - NPI 1417134933
Intermountain Centers For Human Development Inc. is a Residential Treatment Facility, Emotionally Disturbed Children in Tucson, Arizona. Intermountain Centers For Human Development Inc. practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Intermountain Centers For Human Development Inc. is 1417134933. The last update date is 2020-10-09.
Intermountain Centers For Human Development Inc.'s current location address is 1310 N Speedway Pl, Tucson, Arizona. You can contact this provider via phone number 5207310635. The mailing address for Intermountain Centers For Human Development Inc. is 1310 N Speedway Pl, Tucson, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Intermountain Centers For Human Development Inc. |
|---|---|
| Address | 1310 N Speedway Pl, Tucson, Arizona |
| Phone Number | 5207310635 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Lopez Mary Rose |
| Credentials | MBA |
| Telephone Number | 5207211887 |
NPI Number Detail
| NPI Number | 1417134933 |
|---|---|
| Provider Enumeration Date | 2008-01-28 |
| Last Updated Date | 2020-10-09 |
Provider Mailing Address Detail
| Address | 1310 N Speedway Pl |
|---|---|
| City | Tucson |
| State | Arizona (AZ) |
| Post Code | 857155236 |
| Phone Number | 5207310635 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
|---|---|
| Taxonomy | 322D00000X |
| Licence No | BH-2914 |
|
Definition: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 305538 | AZ | -- | |
| BH2914 | AZ | ADHS/BRFL LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Intermountain Centers For Human Development Inc. by the Centers for Medicare & Medicaid Services?
The Intermountain Centers For Human Development Inc. has been assigned the NPI (National Provider Identifier) 1417134933 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Intermountain Centers For Human Development Inc. is physically located?
The Intermountain Centers For Human Development Inc. is situated at the following address: 1310 N Speedway Pl, Tucson, AZ 857155236.
What is Intermountain Centers For Human Development Inc.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Intermountain Centers For Human Development Inc. is Residential Treatment Facility, Emotionally Disturbed Children, and the taxonomy code that categorizes this field of expertise is 322D00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1417134933 to Intermountain Centers For Human Development Inc.?
The Centers for Medicare & Medicaid Services assigned the 1417134933 to Intermountain Centers For Human Development Inc. on 2008-01-28.
As of what date was the information pertaining to Intermountain Centers For Human Development Inc., such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Intermountain Centers For Human Development Inc., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-10-09.