| Pasadera Behavioral Health Network, Inc. | |
|
15921 W. Ajo Highway Tucson AZ 85735-2032 | |
| (520) 407-5700 | |
| (520) 407-5990 |
| Full Name | Pasadera Behavioral Health Network, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 15921 W. Ajo Highway, Tucson, Arizona |
| Authorized Official Name and Position | Stephanie Oliver (CHIEF QUALITY MANAGEMENT OFFICER) |
| Authorized Official Contact | 5206283400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pasadera Behavioral Health Network, Inc. 2700 S 8th Ave Tucson AZ 85713-4730 Ph: (520) 618-8622 | Pasadera Behavioral Health Network, Inc. 15921 W. Ajo Highway Tucson AZ 85735-2032 Ph: (520) 407-5700 |
| NPI Number | 1639591670 |
|---|---|
| Provider Enumeration Date | 01/10/2014 |
| Last Update Date | 03/08/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639591670 | NPI | - | NPPES |
| 882049 | Medicaid | AZ | |
| OTC6164 | Other | AZ | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | OTC6164 (Arizona) | Primary |
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