Organization
TENACITY INTEGRATED BEHAVIORAL HEALTHCARE, PLLC
Active
Other names
Tenacity Integrated Behavioral Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
BOSE GRACE ANIFOWOSE NP (NP)
(623) 565-2668
Entity
Organization
Contact information
Practice address
1075 W AVALON CANYON DR, CASA GRANDE, AZ 85122-6706
(623) 565-2668
(520) 635-5510
Mailing address
1075 W AVALON CANYON DR, CASA GRANDE, AZ 85122-6706
(623) 565-2668
(520) 635-5510
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
07/20/2020
Last updated
01/31/2023
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