Organization
PASADERA BEHAVIORAL HEALTH NETWORK, INC.
Active
Parent organization
PASADERA BEHAVIORAL HEALTH NETWORK, INC.
Other names
Pasadera Walk-In Clinic (SAMHC)
Organization subpart
Yes
Provider details
NPI number
Legal business name
PASADERA BEHAVIORAL HEALTH NETWORK, INC.
Authorized official
STEPHANIE OLIVER CPC, RMM, ICD10CT-CM (CHIEF QUALITY MANAGEMENT OFFICER)
(520) 628-3400
Entity
Organization
Contact information
Practice address
2502 N. DODGE BLVD., SUITE 190, TUCSON, AZ 85716-2675
(520) 618-8600
(520) 617-1608
Mailing address
2700 S 8TH AVE, TUCSON, AZ 85713-4730
(520) 628-3400
(520) 628-3401
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
OTC6597
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
848952
—
AZ
01
—
OTC6597
STATE LICENSE
AZ
Enumeration date
05/07/2007
Last updated
03/08/2016
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