Organization
PANTANO BEHAVIORAL HEALTH SERVICES, INC
Active
Parent organization
PANTANO BEHAVIORAL HEALTH SERVICES, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PANTANO BEHAVIORAL HEALTH SERVICES, INC
Authorized official
PATRICIA D TREEFUL (CEO)
(520) 623-9833
Entity
Organization
Contact information
Practice address
174 S CORONADO DR STE B, SIERRA VISTA, AZ 85635-6356
(520) 458-1044
(520) 458-1192
Mailing address
5055 E BROADWAY BLVD STE C104, TUCSON, AZ 85711-3641
(520) 623-9833
(520) 623-9083
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
BH3328
AZ
Other
Enumeration date
07/31/2009
Last updated
07/31/2009
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