| In Balance Adolescent Transitional Living, Inc | |
|
2601 N Campbell Ave Ste 205 Tucson AZ 85719-3167 | |
| (520) 722-9631 | |
| Not Available |
| Full Name | In Balance Adolescent Transitional Living, Inc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 2601 N Campbell Ave Ste 205, Tucson, Arizona |
| Authorized Official Name and Position | Sharon Reynolds (EXEC ADMIN DIRECTOR) |
| Authorized Official Contact | 2075050143 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| In Balance Adolescent Transitional Living, Inc 6107 E Grant Rd Tucson AZ 85712-5828 Ph: (520) 722-9631 | In Balance Adolescent Transitional Living, Inc 2601 N Campbell Ave Ste 205 Tucson AZ 85719-3167 Ph: (520) 722-9631 |
| NPI Number | 1538840574 |
|---|---|
| Provider Enumeration Date | 07/31/2023 |
| Last Update Date | 07/31/2023 |
| Certification Date | 07/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538840574 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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