Organization
TIGNEX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAFFIE S. TUNIS PHD (TIGNEX PROGRAM DIRECTOR)
(480) 217-6996
Entity
Organization
Contact information
Practice address
2521 E WOOD ST, PHOENIX, AZ 85040-1571
(602) 276-4800
(602) 232-2411
Mailing address
2521 E WOOD ST, PHOENIX, AZ 85040-1571
(602) 276-4800
(602) 232-2411
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
BH-2765
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
177981
—
AZ
01
—
BH-2765
AZ BEHAVIORAL HTH LIC. #
AZ
Enumeration date
04/20/2007
Last updated
08/22/2020
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