Organization
PASADERA BEHAVIORAL HEALTH NETWORK, INC.
Active
Parent organization
PASADERA BEHAVIORAL HEALTH NETWORK, INC.
Other names
Pasadera Three Points Site
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
15921 W. AJO HIGHWAY, TUCSON, AZ 85735-2032
(520) 407-5700
(520) 407-5990
Mailing address
2700 S 8TH AVE, TUCSON, AZ 85713-4730
(520) 618-8622
(520) 628-3401
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
OTC6164
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
882049
—
AZ
01
—
OTC6164
STATE LICENSE
AZ
Enumeration date
01/10/2014
Last updated
03/08/2016
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