Dodge Detoxification Center
LBN: Pasadera Behavioral Health Network, Inc.
Dodge Detoxification Center is an health care organization with primary practice located at 2502 N Dodge Blvd Suite 190, Tucson AZ 85716-2671. The organization recently has only one registered license in Hospital Units / Rehabilitation, Substance Use Disorder Unit, which is considered as the primary health care specialty.
Pasadera Behavioral Health Network, Inc. can be contacted via phone (520) 618-8600, or through Oliver, Stephanie via phone (520) 628-3400.
Contact Information
Primary practice address
2502 N Dodge Blvd Suite 190
Tucson AZ 85716-2671
Phone: (520) 618-8600
Fax: (520) 617-1608
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Hospital Units / Rehabilitation, Substance Use Disorder Unit | 276400000X | IFBH7082 | Arizona |
Profile Details
| NPI number | 1457746497 |
|---|---|
| LBN Legal business name | Pasadera Behavioral Health Network, Inc. |
| DBA Doing business as | Dodge Detoxification Center |
| Authorized official | Oliver, Stephanie CPC, RMM, ICD10CT-CM |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Apr 6th, 2015 |
| Last updated | Aug 13th, 2015 - about 11 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457746497 | NPPES |
| Arizona | MEDICAID | 019108 | |
| Arizona | Other | IFBH7082 |
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