# INTERMOUNTAIN CENTERS FOR HUMAN DEVELOPMENT INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Desert River Intensive Residential
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922763895
- **Authorized official:** ROSE M LOPEZ MBA (PRESIDENT AND CEO)
- **Authorized official phone:** (520) 721-1887

## Contact information

- **Practice address:** 2502 N DODGE BLVD STE 160, TUCSON, AZ 85716-2674
- **Practice address phone:** (520) 721-1887
- **Practice address fax:** (520) 372-7126
- **Mailing address:** PO BOX 86537, TUCSON, AZ 85754-6537
- **Mailing address phone:** (520) 721-1887
- **Mailing address fax:** (520) 372-7126

## Taxonomy

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

## Other

- **Enumeration date:** 11/04/2021
- **Last updated:** 11/04/2021