Organization
CARONDELET HEALTH NETWORK
Active
Other names
O'Rielly Transitions Intensive Outpatient Program
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALAN STRAUSS (CFO)
(520) 872-7700
Entity
Organization
Contact information
Practice address
350 N WILMOT RD, SUITE 150-23A, TUCSON, AZ 85711-2602
(520) 873-3000
Mailing address
2202 N FORBES BLVD, ATTN: MANAGED CARE, TUCSON, AZ 85745-1412
(520) 872-7700
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
BH4206
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BH4206
ARIZONA STATE LICENSE
AZ
01
—
OTC6361
ADHS STATE LICENSE
AZ
Enumeration date
04/03/2013
Last updated
05/05/2014
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