Organization
PASADERA BEHAVIORAL HEALTH NETWORK, INC.
Active
Parent organization
PASADERA BEHAVIORAL HEALTH NETWORK, INC.
Other names
Pasadera New Directions
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
2950 N DODGE BLVD, TUCSON, AZ 85716-2012
(520) 327-9863
(520) 327-9875
Mailing address
2700 S 8TH AVE, TUCSON, AZ 85713-4730
(520) 628-3400
(520) 628-3401
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
BH3958
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
592578
—
AZ
01
—
BH3958
STATE LICENSE NUMBER
AZ
Enumeration date
08/31/2006
Last updated
08/13/2015
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