Organization
IBATL, LLC
Active
Other names
Align Origin
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY BARRASSO (COO)
(520) 722-9631
Entity
Organization
Contact information
Practice address
3333 N IN BALANCE ROAD, BUILDING 1&2, HUACHUCA CITY, AZ 85616
(207) 505-0143
Mailing address
6107 E GRANT RD, TUCSON, AZ 85712-5828
(520) 722-9631
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/09/2025
Last updated
05/09/2025
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