Organization
PASADERA BEHAVIORAL HEALTH NETWORK
Active
Parent organization
PASADERA BEHAVIORAL HEALTH NETWORK
Other names
Pasadera Detox Overflow Unit
Organization subpart
Yes
Provider details
NPI number
Legal business name
PASADERA BEHAVIORAL HEALTH NETWORK
Authorized official
STEPHANIE OLIVER CPC, RMM, ICD10CT-CM (CHIEF QUALITY MANAGEMENT OFFICER)
(520) 628-3400
Entity
Organization
Contact information
Practice address
2950 N. DODGE BLVD., TUCSON, AZ 85716-2012
(520) 628-4019
(520) 628-3158
Mailing address
2700 S 8TH AVE, TUCSON, AZ 85713-4730
(520) 628-3400
(520) 628-3401
Taxonomy
Speciality
Code
Description
License number
State
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
Primary
IFBH6795
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
703481
—
AZ
01
—
IFBH6795
STATE LICENSE
AZ
Enumeration date
01/05/2012
Last updated
08/13/2015
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