NPI 1093864340

Supported Living Systems

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Tucson, AZ

Practice location

Address: 5120 E Alberta Dr, Tucson, AZ 85711-3119
Phone: (520) 514-7840
Mailing address: 925 S Craycroft Rd, Tucson, AZ 85711-7112

Authorised official

Name: Richard Eck
Title: Ceo
Phone: (520) 514-9888

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence BH-1883 (AZ)

Other Residential Treatment Facility, Emotionally Disturbed Children providers in Arizona →

Registry record

NPI: 1093864340
Entity type: Organization
NPI issued: 9 Jan 2007
Record last updated: 22 Aug 2020

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.