Organization
IN BALANCE ADOLESCENT TRANSITIONAL LIVING, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON REYNOLDS (EXEC ADMIN DIRECTOR)
(207) 505-0143
Entity
Organization
Contact information
Practice address
2601 N CAMPBELL AVE STE 205, TUCSON, AZ 85719-3167
(520) 722-9631
Mailing address
6107 E GRANT RD, TUCSON, AZ 85712-5828
(520) 722-9631
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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