Organization
PASADERA BEHAVIORAL HEALTH NETWORK
Active
Organization
PASADERA BEHAVIORAL HEALTH NETWORK
Active
Parent organization
PASADERA BEHAVIORAL HEALTH NETWORK
Other names
Pasadera Serene Life
Organization subpart
Yes
Provider details
NPI number
Legal business name
PASADERA BEHAVIORAL HEALTH NETWORK
Authorized official
STEPHANIE OLIVER CPC, RMM, ICD10CT-CM (DIRECTOR OF QM)
(520) 628-3400
Entity
Organization
Contact information
Practice address
302 W. VENTURA ST., TUCSON, AZ 85705-5478
(520) 620-0188
(520) 620-0197
Mailing address
2700 S 8TH AVE, TUCSON, AZ 85713-4730
(520) 628-3400
(520) 628-3401
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
BH-3687
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
592776
—
AZ
01
—
BH-3687
STATE LICENSE
AZ
Enumeration date
08/31/2006
Last updated
08/13/2015
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