# LA PALOMA FAMILY SERVICES

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

## Provider details

- **NPI number:** 1700961224
- **Authorized official:** MR. DAVID T BRADLEY (CEO)
- **Authorized official phone:** (520) 750-9667

## Contact information

- **Practice address:** 870 W MIRACLE MILE, TUCSON, AZ 85705-3708
- **Practice address phone:** (520) 750-9667
- **Practice address fax:** (520) 750-0056
- **Mailing address:** 870 W MIRACLE MILE, TUCSON, AZ 85705-3708
- **Mailing address phone:** (520) 750-9667
- **Mailing address fax:** (520) 750-0056

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | BH3023 | AZ | Yes |

## Other

- **Enumeration date:** 10/25/2006
- **Last updated:** 12/19/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 885957 | — | AZ |