# PANTANO BEHAVIORAL HEALTH SERVICES, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PANTANO BEHAVIORAL HEALTH SERVICES, INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1568693075
- **Legal business name:** PANTANO BEHAVIORAL HEALTH SERVICES, INC
- **Authorized official:** PATRICIA D TREEFUL (CEO)
- **Authorized official phone:** (520) 623-9833

## Contact information

- **Practice address:** 1740 N MASTICK WAY STE B, NOGALES, AZ 85621-1013
- **Practice address phone:** (520) 281-1255
- **Practice address fax:** (520) 281-1266
- **Mailing address:** 5055 E BROADWAY BLVD STE C104, TUCSON, AZ 85711-3641
- **Mailing address phone:** (520) 623-9833
- **Mailing address fax:** (520) 623-9083

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | BH3359 | AZ | Yes |

## Other

- **Enumeration date:** 07/31/2009
- **Last updated:** 07/31/2009