# TENACITY INTEGRATED BEHAVIORAL HEALTHCARE, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Tenacity Integrated Behavioral Healthcare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962010595
- **Authorized official:** BOSE GRACE ANIFOWOSE NP (NP)
- **Authorized official phone:** (623) 565-2668

## Contact information

- **Practice address:** 1075 W AVALON CANYON DR, CASA GRANDE, AZ 85122-6706
- **Practice address phone:** (623) 565-2668
- **Practice address fax:** (520) 635-5510
- **Mailing address:** 1075 W AVALON CANYON DR, CASA GRANDE, AZ 85122-6706
- **Mailing address phone:** (623) 565-2668
- **Mailing address fax:** (520) 635-5510

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | — |
| 323P00000X | Psychiatric Residential Treatment Facility | — | NULL | Yes |
| 324500000X | Substance Abuse Rehabilitation Facility | — | NULL | — |

## Other

- **Enumeration date:** 07/20/2020
- **Last updated:** 01/31/2023