Intermountain Centers for Human Development Inc.

NPI #1497135669 in Tucson, Arizona

Provider Information

NPI Number: 1497135669
Entity Type: Organization
Organization Name: Intermountain Centers for Human Development Inc.
Primary Specialty: Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children
Enumeration Date: Jun 3, 2015
Last Updated: Dec 19, 2023

Practice Location

Address: 2502 N DODGE BLVD STE 190A
City: Tucson
State: Arizona
ZIP Code: 85716-2671
Phone: (520) 618-8800

Authorized Official

Name: MS. ROSE LOPEZ, MBA, CPA
Title: PRESIDENT AND CEO
Phone: (520) 721-1887

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Mental Illness	320800000X
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children — Substance Abuse Treatment, Children	3245S0500X	Primary

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