PASCUA YAQUI TRIBE PATH TTP


Address: 7490 S Camino De Oeste, 7402 S. Camino Vahcom, Tucson, AZ 85746-9308
Phone: 5208796060

PASCUA YAQUI TRIBE PATH TTP (NPI# 1588879159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588879159
Entity Type Organization
Organization Name PASCUA YAQUI TRIBE PATH TTP
Practice Address 7490 S Camino De Oeste
7402 S. Camino Vahcom
Tucson
AZ 85746-9308
Practice Telephone 5208796060
Practice Fax Number 5208796099
Mailing Telephone 5208796060
Mailing Fax Number 5208796099
Enumeration Date 2007-05-14
Last Update Date 2020-08-22
Authorized Official Name MS. ROSA M RIVERA (BUSINESS MANAGER)
Authorized Official Telephone 5208796060
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 324500000X Substance Abuse Rehabilitation Facility Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
AZ 846727 05
AZ 054317 05
AZ 218075 05

Office Location

Street Address 7490 S CAMINO DE OESTE
7402 S. CAMINO VAHCOM
City TUCSON
State AZ
Zip Code 85746-9308

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154324150 Marisa Lynn Soto Pharmacist 7490 S Camino De Oeste, Tucson, AZ 85746-9308 2005-05-23
1790302727 El Rio Santa Cruz Neighborhood Pharmacy 7490 S Camino De Oeste, Tucson, AZ 85746-9308 2020-06-25
1477172872 Stephen John Simonetti Student in an Organized Health Care Education/Training Program 7490 S Camino De Oeste, Tucson, AZ 85746-9308 2020-04-15
1942778857 Sean Plimley Herziger Social Worker 7490 S Camino De Oeste, Tucson, AZ 85746-9308 2018-11-08
1639647522 Dawn Elizabeth Mcmillan-austin Counselor 7490 S Camino De Oeste, Tucson, AZ 85746-9308 2018-11-08
1285126839 Laura J. Cockrell Marriage & Family Therapist 7490 S Camino De Oeste, Tucson, AZ 85746-9308 2018-05-30
1558853275 Linda L Vance Counselor 7490 S Camino De Oeste, Tucson, AZ 85746-9308 2018-05-30
1003310251 Ava Crystal Arshadi Student in an Organized Health Care Education/Training Program 7490 S Camino De Oeste, Tucson, AZ 85746-9308 2018-03-22
1427565050 Maria Alcantara Dental Hygienist 7490 S Camino De Oeste, Tucson, AZ 85757-9308 2018-01-04
1720443237 Teddy Kay Walter Estes Counselor 7490 S Camino De Oeste, Tucson, AZ 85746-9308 2015-12-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497303465 Sighle U Singh Registered Nurse San Xavier Clinic, 7900 S. J. Stock Rd, Tucson, AZ 85746 2019-09-03
1669026167 Midvale Park Dental Partners LLC Dentist 1979 W Valencia Rd, Tucson, AZ 85746 2019-08-01
1073167854 Michael Whiting Dentist 1979 West Valencia Road, Tucson, AZ 85746 2019-07-30
1609328350 Tucson Orthopaedic Institute Professional Corporation Physical Therapist 10350 E. Drexel Rd. #130, Tucson, AZ 85746 2016-10-28
1790139624 Jason Wilhoit Counselor 2345 N Castro Ave, Tucson, AZ 85746 2016-04-18
1851764344 Yvonne M Escobar Registered Nurse 4400 W. Irvington Rd, Tucson, AZ 85746 2015-11-05
1841543626 Dora Palacios Contractor 3042 W. Capistrano Rd., Tucson, AZ 85746 2012-10-18
1972854347 Alfonzo Lopez II Social Worker 5436 South Camino De La Tiera, Tucson, AZ 85746 2012-09-26
1497030449 Bhavin Patel Pharmacist 1550 W Valencia, Tucson, AZ 85746 2011-10-20
1427333012 Brita A. Reams Registered Nurse 4700 S. Settler Avenue, Tucson, AZ 85746 2011-10-15
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Taxonomy Information

Taxonomy Code 324500000X
Grouping Residential Treatment Facilities
Classification Substance Abuse Rehabilitation Facility

Taxonomy Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Notes: [7/1/2003: modified title, modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578170999 Arizona Center for Recovery- A New Direction Substance Abuse Rehabilitation Facility 5331 N Sundown Dr, Tucson, AZ 85718-5515 2020-09-29
1427663947 Summit Bhc Tuscon, LLC Substance Abuse Rehabilitation Facility 4210 W. Sweetwater Drive, Tucson, AZ 85745-9348 2020-09-11
1154826527 Villa Maria Care Center, LLC Substance Abuse Rehabilitation Facility 4310 E Grant Rd Ste A, Tucson, AZ 85712-2607 2018-03-28
1104373364 Arizona Rehab Campus, LLC Substance Abuse Rehabilitation Facility 6944 E Tanque Verde Rd, Tucson, AZ 85715 2016-09-06
1295120319 Hlgl LLC Substance Abuse Rehabilitation Facility 1604 N Country Club Rd, Tucson, AZ 85716-3119 2015-04-06
1649686106 Southwest Sober Living, LLC Substance Abuse Rehabilitation Facility 330 W Los Altos Rd, Tucson, AZ 85704-5671 2014-07-06
1669886370 The Villas Substance Abuse Rehabilitation Facility 6849 S Tackweed Way, Tucson, AZ 85756-5141 2014-06-20
1033497961 The Haven Substance Abuse Rehabilitation Facility 147 S Avenida Depalmas, Tucson, AZ 85716 2011-07-26
1336434364 Transitional Living Corporation Substance Abuse Rehabilitation Facility 1313 S. Venice Ave, Tucson, AZ 85712-3935 2011-06-17
1356631931 The Haven Substance Abuse Rehabilitation Facility 100 S Avenida De Palmas, Tucson, AZ 85716-5817 2011-04-15
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Competitor

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City TUCSON
Zip Code 85746

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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