Organization
IN BALANCE ADOLESCENT TRANSITIONAL LIVING, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON REYNOLDS (EXEC ADMIN DIRECTOR)
(520) 722-9631
Entity
Organization
Contact information
Practice address
2601 N CAMPBELL AVE SUITE 205, TUCSON, AZ 85719-8571
(207) 229-6315
Mailing address
6107 E GRANT RD, TUCSON, AZ 85712-5828
(520) 722-9631
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
08/12/2022
Last updated
08/12/2022
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