In Balance Ranch Academy , INC.
Counselor, Addiction (Substance Use Disorder) in Huachuca City, AZ. Organization (NPI-2).
NPI number1194409433
StatusActive
Last updated in NPPESJun 14, 2023
Details
- NPI
- 1194409433
- Entity type
- Organization (NPI-2)
- Legal business name
- In Balance Ranch Academy , INC.
- Organization subpart
- No
- Enumeration date
- Jun 14, 2023
- Certification date
- Jun 13, 2023
- Last updated
- Jun 14, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
Practice location
3331 N In Balance RdHuachuca City, AZ 85616-8318
Phone 207-505-0143
Mailing address
6107 E Grant RdTucson, AZ 85712-5828
Phone 520-722-9631 · Fax 520-722-9676
Authorized official
Sharon Reynolds
Exec Admin Director
2075050143
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