| Behavioral Consultation Services, Inc. | |
|
401 N Bonita Ave Ofc B117 Tucson AZ 85745-2750 | |
| (520) 721-1887 | |
| (520) 721-0069 |
| Full Name | Behavioral Consultation Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 401 N Bonita Ave Ofc B117, Tucson, Arizona |
| Authorized Official Name and Position | Rose M Lopez (PRESIDENT AND CEO) |
| Authorized Official Contact | 5207211887 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Consultation Services, Inc. Po Box 86537 Tucson AZ 85754-6537 Ph: (520) 721-1887 | Behavioral Consultation Services, Inc. 401 N Bonita Ave Ofc B117 Tucson AZ 85745-2750 Ph: (520) 721-1887 |
| NPI Number | 1497358022 |
|---|---|
| Provider Enumeration Date | 11/17/2020 |
| Last Update Date | 12/01/2020 |
| Certification Date | 12/01/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497358022 | NPI | - | NPPES |
| OTC10509 | Other | AZ | ADHS BUREAU OF MEDICAL FACILITIES LICENSING |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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