Organization
ADAPTIVE LIVING INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LANA BIOCCA PHD (EXECUTIVE DIRECTOR)
(520) 884-4229
Entity
Organization
Contact information
Practice address
434 E 9TH ST, TUCSON, AZ 85705-8580
(520) 884-4229
(520) 884-8462
Mailing address
434 E 9TH ST, TUCSON, AZ 85705-8580
(520) 884-4229
(520) 884-8462
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
BH-700
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
589715
—
AZ
Enumeration date
12/12/2006
Last updated
08/22/2020
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