Organization
PASADERA BEHAVIORAL HEALTH NETWORK DBA LEVEL II DETOXIFICATION
Active
Organization
PASADERA BEHAVIORAL HEALTH NETWORK DBA LEVEL II DETOXIFICATION
Active
Parent organization
COMPASS BEHAVIORAL HEALTH
Other names
Compass Health Care, Inc.
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMPASS BEHAVIORAL HEALTH
Authorized official
GROVER GLENN MA, LPC, LISAC, CPHQ (DIRECTOR OF QM)
(520) 618-8622
Entity
Organization
Contact information
Practice address
2950 N. DODGE BLVD., TUCSON, AZ 85716-2012
(520) 628-3155
(520) 628-3158
Mailing address
2502 N. DODGE BLVD., SUITE 190, TUCSON, AZ 85716-2675
(520) 618-8622
(520) 617-1608
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
BH/H-3958
AZ
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
592578
—
AZ
05
—
807745
—
AZ
01
—
BH/H-3958
STATE LICENSE
AZ
Enumeration date
09/12/2006
Last updated
09/19/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up