Intermountain Centers For Human Development Inc., NPI 1275904716
Community/Behavioral Health Agency in Tucson, AZ, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1275904716 |
| NPI Entity Type | Organization |
| Provider Name |
Intermountain Centers For Human Development Inc.
Other Name |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Certification Date | September 30, 2009 |
| Provider Location Address | 5055 E Broadway Blvd Ste C-104, Tucson, AZ, US |
| Provider Mailing Address | Po Box 86537, Tucson, AZ, US, 857546537 |
| Gender | Male |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | MBA Rose Mary Lopez |
| Official Position | PRESIDENT AND CEO |
| Phone | 520-721-1887 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Community/Behavioral Health Agency |
| Classification | |
| Group | |
| Description | A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 090219 | AZ | MEDICAID | 05 |
| OTC7327 | AZ | STATE LICENSE | 01 |
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