1992136808 EASTER SEALS BLAKE FOUNDATION
Mental Illness Community Based Residential Treatment Facility
Active
Basic Information
- Organization Name
- EASTER SEALS BLAKE FOUNDATION
- Enumeration Date
- December 2, 2013
- Last Update
- August 3, 2021
- Authorized Official
- MARISSA S ARENDT
CFO
Phone: (520) 327-1529
Practice Location
- Address
- 3327 E BROADWAY BLVD
TUCSON, AZ 857165858 - Phone
- (520) 318-0272
Mailing Address
- Address
- 7750 E BROADWAY BLVD
STE. A200
TUCSON, AZ 857103901 - Phone
- (520) 327-1529
- Fax
- (520) 327-1836
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | BH-4428 | AZ | No |
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Community Based Residential Treatment Facility, Mental Illness | BH4428 | AZ | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BH4428 | 01 | AZ | AZ BEHAVIORAL HEALTH RESIDENTIAL FACILITY LICENSE |
| 881681 | 01 | AZ | AHCCCS PROVIDER |
Frequently Asked Questions
What is EASTER SEALS BLAKE FOUNDATION's NPI number?
EASTER SEALS BLAKE FOUNDATION's NPI number is 1992136808.
Which doctor has NPI number 1992136808?
The doctor with NPI number 1992136808 is EASTER SEALS BLAKE FOUNDATION.
What is EASTER SEALS BLAKE FOUNDATION's practice address?
EASTER SEALS BLAKE FOUNDATION's practice address is 3327 E BROADWAY BLVD, TUCSON, AZ, 857165858.
Which doctor practices at 3327 E BROADWAY BLVD, TUCSON, AZ, 857165858?
EASTER SEALS BLAKE FOUNDATION practices at 3327 E BROADWAY BLVD, TUCSON, AZ, 857165858.
What is EASTER SEALS BLAKE FOUNDATION's mailing address?
EASTER SEALS BLAKE FOUNDATION's mailing address is 7750 E BROADWAY BLVD, STE. A200, TUCSON, AZ, 857103901.
What is EASTER SEALS BLAKE FOUNDATION's phone number?
EASTER SEALS BLAKE FOUNDATION's phone number is (520) 318-0272.
Who is (520) 318-0272?
(520) 318-0272 is the phone number for EASTER SEALS BLAKE FOUNDATION.
What is EASTER SEALS BLAKE FOUNDATION's specialty?
EASTER SEALS BLAKE FOUNDATION's specialty is Mental Illness Community Based Residential Treatment Facility.
What type of doctor is EASTER SEALS BLAKE FOUNDATION?
EASTER SEALS BLAKE FOUNDATION is a Mental Illness Community Based Residential Treatment Facility.
Is EASTER SEALS BLAKE FOUNDATION a Community Based Residential Treatment Facility, Mental Illness?
Yes, EASTER SEALS BLAKE FOUNDATION is a Community Based Residential Treatment Facility, Mental Illness.
Is EASTER SEALS BLAKE FOUNDATION still practicing?
Yes, EASTER SEALS BLAKE FOUNDATION is currently practicing.
Is EASTER SEALS BLAKE FOUNDATION accepting new patients?
EASTER SEALS BLAKE FOUNDATION may be accepting new patients. Please call their office at (520) 318-0272 to inquire about availability.
Is NPI 1992136808 still active?
Yes, NPI 1992136808 is currently active.
Where does EASTER SEALS BLAKE FOUNDATION practice?
EASTER SEALS BLAKE FOUNDATION practices in TUCSON, AZ.