Intermountain Centers For Human Development Inc., NPI 1275904716
Community/Behavioral Health Agency in Tucson, AZ, US

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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
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Organization Official

Official Name MBA Rose Mary Lopez
Official Position PRESIDENT AND CEO
Phone 520-721-1887

Primary Taxonomy

Taxonomy Code

251S00000X

Taxonomy Name Community/Behavioral Health Agency
Classification

Community/Behavioral Health

Group

Agencies

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.

Other Organization Name

Broadway
Other Name

Business Address

Intermountain Centers For Human Development Inc.
5055 E Broadway Blvd Ste C-104

Tucson, AZ, US

Phone: 520-623-9833
Fax: 520-623-9083

Mailing Address

Intermountain Centers For Human Development Inc.
Po Box 86537
Tucson, AZ, US
ZIP 857546537
Phone: 520-721-1887
Fax: 520-721-0069

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

261QH0100X

Ambulatory Health Care Facilities

Clinic/Center

No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
090219 AZ MEDICAID 05
OTC7327 AZ STATE LICENSE 01

Other Providers in AZ, US

NPI Name Taxonomy Address

1659836476

Kerri Hohn

Individual

Behavior Technician

2222 S Dobson Rd Bldg 9

Mesa, AZ

1194108852

M.A., N.C.C., L.P.C Robert Dale Labrum

Individual

Mental Health Counselor

1845 S Dobson Rd Ste 101

Mesa, AZ

1598703217

DR. M.D. Vincent Paul Goux

Individual

Family Medicine Physician

3320 N 3rd Ave

Phoenix, AZ

1144730607

Atlas Medical Systems, Pllc

Organization

Family Medicine Physician

3320 N 3rd Ave

Phoenix, AZ

1548982523

Tiana Elizabeth Roth

Individual

Emergency Registered Nurse

13162 W Clarendon Ave

Litchfield Park, AZ

1356066237

Ngalle Homes Care

Organization

Mental Illness Community Based Residential Treatment Facility

721 E Forge Ave

Mesa, AZ

1376270470

MR. MA, LISAC Woodrow Eugene Miller III

Individual

Addiction (Substance Use Disorder) Counselor

21085 W Park Meadows Dr

Buckeye, AZ

1861960486

Christina Fitzpatrick

Individual

Behavior Technician

1 S Church Ave Ste 1200

Tucson, AZ

1295450658

PA-C Abigail Jane Higgins

Individual

Family Medicine Physician

16611 S 40th St Ste 120

Phoenix, AZ

1154088532

RN Abbigael Naomi Simpson

Individual

Psychiatric/Mental Health Nurse Practitioner

1707 W Saint Marys Rd

Tucson, AZ

1508581976

Rehema Outpatient Treatment Center Llc

Organization

Mental Health Clinic/Center (Including Community Mental Health Center)

1968a N Peart Rd Ste 3

Casa Grande, AZ

1083339451

MRS. LCSW Colette Reon Hardesty-tesar X

Individual

Clinical Social Worker

3565 E Marshall Gulch Pl

Tucson, AZ

1821594557

MD Xiao Kristin Liang

Individual

Family Medicine Physician

7301 E 2nd St Ste 210

Scottsdale, AZ

1194440560

RD Haley Dawn Smith

Individual

Registered Dietitian

1200 N Beaver St

Flagstaff, AZ

1851852834

MD Nicole Marie Casey

Individual

Family Medicine Physician

3003 N 3rd St

Phoenix, AZ

1669120499

Julie Ann Roberts

Individual

Mental Health Counselor

335 N Alma School Rd

Chandler, AZ

1316335383

MOT OTR/L, BCP, CIMI Victoria Wicus

Individual

Occupational Therapist

4525 E Le Marche Ave

Phoenix, AZ

1134849490

LCSW Taylor Redding

Individual

Clinical Social Worker

3656 W Scavenger Dr

Marana, AZ

1043575483

Sierra Vista Regional Health Center Medical Group Llc

Organization

Family Medicine Physician

5750 E Highway 90

Suite 200

Sierra Vista, AZ

1447975800

PT Catherine Broadbent

Individual

Physical Therapist

23374 W Yuma Rd Ste 104

Buckeye, AZ

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