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Organization
IN BALANCE TRANSITIONAL LIVING HOME, INC.
Active
Organization
IN BALANCE TRANSITIONAL LIVING HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY BARRASSO MPA, MLS (COO)
(520) 722-9631
Entity
Organization
Contact information
Practice address
2601 N CAMPBELL AVE SUITE 205, TUCSON, AZ 85719-8571
(207) 229-6315
Mailing address
6107 E GRANT RD, TUCSON, AZ 85712-5828
(520) 722-9631
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
03/04/2022
Last updated
07/28/2023
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