# PASADERA BEHAVIORAL HEALTH NETWORK

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PASADERA BEHAVIORAL HEALTH NETWORK
- **Other names:** Pasadera Detox Overflow Unit
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1740550839
- **Legal business name:** PASADERA BEHAVIORAL HEALTH NETWORK
- **Authorized official:** STEPHANIE OLIVER CPC, RMM, ICD10CT-CM (CHIEF QUALITY MANAGEMENT OFFICER)
- **Authorized official phone:** (520) 628-3400

## Contact information

- **Practice address:** 2950 N. DODGE BLVD., TUCSON, AZ 85716-2012
- **Practice address phone:** (520) 628-4019
- **Practice address fax:** (520) 628-3158
- **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 | IFBH6795 | AZ | Yes |

## Other

- **Enumeration date:** 01/05/2012
- **Last updated:** 08/13/2015
