Whalio Doctors

NPI 1003597055

In Balance Adolescent Transitional Living, INC

Organisation Comprehensive Outpatient Rehabilitation Facility (CORF) Tucson, AZ

Practice location

Address
2601 N Campbell Ave STE 205, Tucson, AZ 85719-3167
Phone
(520) 722-9631
Mailing address
6107 E Grant Rd, Tucson, AZ 85712-5828

Authorised official

Name
Sharon Reynolds
Title
Exec Admin Director
Phone
(207) 505-0143

Registered specialties (3)

Comprehensive Outpatient Rehabilitation Facility (CORF) Primary
Ambulatory Health Care Facilities Taxonomy 261QR0401X
Adolescent and Children Mental Health Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QM0855X
Children's Substance Abuse Rehabilitation Facility
Residential Treatment Facilities Taxonomy 3245S0500X

Registry record

NPI
1003597055
Entity type
Organization
NPI issued
31 Jul 2023
Record last updated
31 Jul 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.