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Intermountain Centers for Human Development Inc. — NPI 1497135669, Tucson, AZ | NPI Central

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NPI 1497135669

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Intermountain Centers for Human Development Inc.

NPI 1497135669 · Children's Substance Abuse Rehabilitation Facility · Tucson, AZ

Provider details

NPI number: 1497135669
Entity type: Organization
Primary specialty: Children's Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
Organization subpart: No
Authorized official: Rose Lopez, President and Ceo(520) 721-1887
License: BH-4537 (AZ)

Specialties & taxonomies

Children's Substance Abuse Rehabilitation FacilityPrimary3245S0500X
Residential Treatment Facilities
Mental Illness Community Based Residential Treatment Facility320800000XLicense BH-4537 (AZ)
Residential Treatment Facilities

Practice location

2502 N Dodge Blvd Ste 190a

Tucson, AZ 85716-2671

Phone: (520) 618-8800

Approximate (ZIP-level) locationGet directions

More AZ providers

Mailing address

Po Box 86537

Tucson, AZ 85754-6537

Other names (DBA / former)

Other name: Summit Residential

Registry dates

Enumerated: 2015-06-03
Last updated: 2023-12-19
Certified: 2023-12-19

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.