Organization
WOMEN'S TRANSITION PROJECT, INC.
Active
Parent organization
PASADERA BEHAVIORAL HEALTH NETWORK, INC.
Other names
Renaissance House
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
240 O'HARA AVENUE, BISBEE, AZ 85603
(520) 432-1771
(520) 432-4703
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
BH-2640
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
989634
—
AZ
01
—
BH-2640
STATE LICENSE
AZ
Enumeration date
11/15/2006
Last updated
08/13/2015
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