# CASA DE TUCSON LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063749521
- **Authorized official:** MS. ANNE N HOWARTH R.N. (OWNER/ ADMINISTRATOR)
- **Authorized official phone:** (520) 572-0404

## Contact information

- **Practice address:** 5055 W PIMA FARMS RD, TUCSON, AZ 85741-4736
- **Practice address phone:** (520) 572-0404
- **Mailing address:** 3700 W GAILEY DR, TUCSON, AZ 85741-2017
- **Mailing address phone:** (520) 572-0404

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | BH-3098 | AZ | Yes |

## Other

- **Enumeration date:** 11/04/2009
- **Last updated:** 11/04/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | BH-3098 | DEPT OF HEALTH SERVICES LICENSE | AZ |