Tenacity Integrated Behavioral Healthcare, PLLC
Psychiatric Residential Treatment Facility in Casa Grande, AZ. Organization (NPI-2).
NPI number1962010595
StatusActive
Last updated in NPPESJan 31, 2023
Details
- NPI
- 1962010595
- Entity type
- Organization (NPI-2)
- Legal business name
- Tenacity Integrated Behavioral Healthcare, PLLC
- Organization subpart
- No
- Enumeration date
- Jul 20, 2020
- Certification date
- Jan 31, 2023
- Last updated
- Jan 31, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 323P00000X | Psychiatric Residential Treatment Facility | – | – | Yes |
| 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | |
| 324500000X | Substance Abuse Rehabilitation Facility | – | – |
Other names
- Tenacity Integrated Behavioral Healthcare (Doing Business As)
Practice location
1075 W Avalon Canyon DrCasa Grande, AZ 85122-6706
Phone 623-565-2668 · Fax 520-635-5510
Mailing address
1075 W Avalon Canyon DrCasa Grande, AZ 85122-6706
Phone 623-565-2668 · Fax 520-635-5510
Authorized official
Bose Grace Anifowose
NP
6235652668
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