Organization
PASADERA BEHAVIORAL HEALTH NETWORK, INC.
Active
Parent organization
PASADERA BEHAVIORAL HEALTH NETWORK, INC.
Other names
Desert Hope Outpatient Services
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
2499 E. AJO WAY, TUCSON, AZ 85713-5478
(520) 618-8701
(520) 327-9817
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
OTC6555
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
707235
—
AZ
01
—
OTC6555
STATE LICENSE
AZ
Enumeration date
05/16/2012
Last updated
08/13/2015
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