# PASADERA BEHAVIORAL HEALTH NETWORK, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PASADERA BEHAVIORAL HEALTH NETWORK, INC.
- **Other names:** Dodge Detoxification Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1457746497
- **Legal business name:** PASADERA BEHAVIORAL HEALTH NETWORK, INC.
- **Authorized official:** STEPHANIE OLIVER CPC, RMM, ICD10CT-CM (CHIEF QUALITY MANAGEMENT OFFICER)
- **Authorized official phone:** (520) 628-3400

## Contact information

- **Practice address:** 2502 N DODGE BLVD, SUITE 190, TUCSON, AZ 85716-2671
- **Practice address phone:** (520) 618-8600
- **Practice address fax:** (520) 617-1608
- **Mailing address:** 2700 S 8TH AVE, TUCSON, AZ 85713-4730
- **Mailing address phone:** (520) 628-3400
- **Mailing address fax:** (520) 628-3401

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 276400000X | Substance Use Disorder Rehabilitation Hospital Unit | IFBH7082 | AZ | Yes |

## Other

- **Enumeration date:** 04/06/2015
- **Last updated:** 08/13/2015