| O'rielly Transitions Intensive Outpatient Program | |
|
350 N Wilmot Rd Suite 150-23a Tucson AZ 85711-2602 | |
| (520) 873-3000 | |
| Not Available |
| Full Name | O'rielly Transitions Intensive Outpatient Program |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 350 N Wilmot Rd, Tucson, Arizona |
| Authorized Official Name and Position | Alan Strauss (CFO) |
| Authorized Official Contact | 5208727700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| O'rielly Transitions Intensive Outpatient Program 2202 N Forbes Blvd Attn: Managed Care Tucson AZ 85745-1412 Ph: (520) 872-7700 | O'rielly Transitions Intensive Outpatient Program 350 N Wilmot Rd Suite 150-23a Tucson AZ 85711-2602 Ph: (520) 873-3000 |
| NPI Number | 1417290958 |
|---|---|
| Provider Enumeration Date | 04/03/2013 |
| Last Update Date | 05/05/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417290958 | NPI | - | NPPES |
| OTC6361 | Other | AZ | ADHS STATE LICENSE |
| BH4206 | Other | AZ | ARIZONA STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | BH4206 (Arizona) | Primary |
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