ADAPTIVE LIVING INSTITUTE


Address: 434 E 9th St, Tucson, AZ 85705-8580
Phone: 5208844229

ADAPTIVE LIVING INSTITUTE (NPI# 1659432763) 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) 1659432763
Entity Type Organization
Organization Name ADAPTIVE LIVING INSTITUTE
Practice Address 434 E 9th St
Tucson
AZ 85705-8580
Practice Telephone 5208844229
Practice Fax Number 5208848462
Mailing Telephone 5208844229
Mailing Fax Number 5208848462
Enumeration Date 2006-12-12
Last Update Date 2020-08-22
Authorized Official Name DR. LANA BIOCCA (EXECUTIVE DIRECTOR)
Authorized Official Telephone 5208844229
Authorized Official Credential PHD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
BH-700 AZ Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
AZ 589715 05

Office Location

Street Address 434 E 9TH ST
City TUCSON
State AZ
Zip Code 85705-8580

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1104136571 Charles Tyler Upton Counselor 721 N. Fourth Ave, Tucson, AZ 85705 2010-10-19
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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1295129823 Terros, Inc. Clinic/Center 3385 N Campbell Ave, Tucson, AZ 85719-2306 2015-03-20
1518358530 Codac Health, Recovery & Wellness, Inc. Clinic/Center 1600 N Country Club Rd, Tucson, AZ 85716-3119 2015-02-12
1053524348 Pasadera Behavioral Health Network, Inc. Clinic/Center 2502 N. Dodge Blvd., Suite 190, Tucson, AZ 85716-2675 2007-05-07
1356482236 Maple Star Nevada Clinic/Center 100 Washington St. Ste 350, Tucson, AZ 85711 2007-02-12
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Competitor

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City TUCSON
Zip Code 85705

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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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