Organization
HEALTHY TREATING LLC
Active
Organization
HEALTHY TREATING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MASSO ERIC RUSAMAZA BHT (CEO)
(920) 378-7176
Entity
Organization
Contact information
Practice address
7740 E SPEEDWAY BLVD, TUCSON, AZ 85710-1606
(920) 378-7176
Mailing address
3825 E SUN VIEW CT, TUCSON, AZ 85706-4983
(920) 378-7176
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103K00000X
Behavior Analyst
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TP0016X
Prescribing (Medical) Psychologist
—
—
2084P0802X
Addiction Psychiatry Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
883756877
IRS
—
Enumeration date
03/07/2023
Last updated
03/10/2023
Update your record
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