Mirasol Inc in Tucson - Psychiatric Residential Treatment Facility
Mirasol Inc - NPI 1407040553
Mirasol Inc is a Psychiatric Residential Treatment Facility in Tucson, Arizona. Mirasol Inc practices all healthcare services and medical treatments related to Psychiatric Residential Treatment Facility. The NPI Number for Mirasol Inc is 1407040553. The last update date is 2015-04-16.
Mirasol Inc's current location address is 2954 N Campbell Ave # 157, Tucson, Arizona. You can contact this provider via phone number 5205463200. The mailing address for Mirasol Inc is 2954 N Campbell Ave # 157, Tucson, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mirasol Inc |
|---|---|
| Address | 2954 N Campbell Ave # 157, Tucson, Arizona |
| Phone Number | 5205463200 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Rust Jeanne |
| Credentials | PHD |
| Telephone Number | 5205463200 |
NPI Number Detail
| NPI Number | 1407040553 |
|---|---|
| Provider Enumeration Date | 2007-08-31 |
| Last Updated Date | 2015-04-16 |
Provider Mailing Address Detail
| Address | 2954 N Campbell Ave # 157 |
|---|---|
| City | Tucson |
| State | Arizona (AZ) |
| Post Code | 857192813 |
| Phone Number | 5205463200 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric Residential Treatment Facility |
|---|---|
| Taxonomy | 323P00000X |
| Licence No | BH 4518 |
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Definition: A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized ps |
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What is the unique 10-digit identification code assigned to Mirasol Inc by the Centers for Medicare & Medicaid Services?
The Mirasol Inc has been issued the NPI (National Provider Identifier) 1407040553, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Mirasol Inc?
The Mirasol Inc is physically situated at 2954 N Campbell Ave # 157, in the city of Tucson, state of AZ, with the postal code 857192813.
What is Mirasol Inc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mirasol Inc's specialized field of practice is Psychiatric Residential Treatment Facility, and the corresponding taxonomy code that categorizes this area of specialization is 323P00000X.
On what date did Mirasol Inc receive its 1407040553 assignment from the Centers for Medicare & Medicaid Services?
The Mirasol Inc was assigned its 1407040553 on 2007-08-31, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Mirasol Inc last refreshed?
The information related to the Mirasol Inc, including its address, specialty, and other relevant details, was last updated on 2015-04-16.