DODGE DETOXIFICATION CENTER - NPI 1457746497 - Rehabilitation, Substance Use Disorder Unit in Tucson, AZ

Q: What is Pasadera Behavioral Health Network, Inc.'s specialty?

The primary specialty registered for this NPI is Rehabilitation, Substance Use Disorder Unit with taxonomy code 276400000X.

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About Dodge Detoxification Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DODGE DETOXIFICATION CENTER (NPI 1457746497) is a healthcare organization registered as a rehabilitation, substance use disorder unit in Tucson, Arizona and active in the NPI registry since April 2015. The organization lists Stephanie Oliver, Chief Quality Management Officer, as its authorized official.

NPPES Registry Identity

NPI1457746497

Entity TypeOrganization

Primary Taxonomy276400000X

Legal Business NamePASADERA BEHAVIORAL HEALTH NETWORK, INC.

Location Address2502 N DODGE BLVD, SUITE 190Tucson, AZ 85716-2671

Mailing Address2700 S 8th AveTucson, AZ 85713-4730 · (520) 628-3400 · Fax (520) 628-3401

Phone(520) 618-8600

Fax(520) 617-1608

Organization SubpartYes

Authorized OfficialStephanie OliverChief Quality Management Officer · (520) 628-3400

Enumeration DateApril 6, 2015

Last NPPES UpdateAugust 13, 2015

✔ NPI 1457746497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRehabilitation, Substance Use Disorder UnitHospital Units

Taxonomy Code276400000X

License✔ Licensed in AZ · IFBH7082

Definition

A distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoactive substance use disorders (commonly referred to as alcohol and drug abuse or substance abuse.)

2502 N DODGE BLVD, Tucson, AZ 85716

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Other Names 1

Doing Business AsDodge Detoxification Center

Other Identifiers 2

OtherIFBH7082AZ · State License

Medicaid019108AZ

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. IVY L SCHWARTZ M.D.

Family Medicine (Addiction Medicine)

2502 N DODGE BLVD, SUITE 100
TUCSON, AZ 85716

Pima County (520) 618-8747

JULIE RATHBUN

Social Worker (Clinical)

2502 N DODGE BLVD, SUITE 190
TUCSON, AZ 85716

Pima County (520) 671-0043

JESSICA SAGE

Psychologist

2502 N DODGE BLVD, SUITE 190
TUCSON, AZ 85716

Pima County (520) 617-0043

MS. CATHERINE S. LAUGHLIN PNP

Nurse Practitioner (Psychiatric/Mental Health)

2502 N DODGE BLVD, STE. 190
TUCSON, AZ 85716

Pima County (520) 618-8634

HAVEN SENDERO DE SONORA, INC.

Psychiatric Residential Treatment Facility

2502 N DODGE BLVD, SUITE 160
TUCSON, AZ 85716

Pima County (520) 618-8901

NANCY B. PRUNTY N.P.

Nurse Practitioner

2502 N DODGE BLVD
TUCSON, AZ 85716

Pima County (520) 618-8747

COMMUNITY BRIDGES, INC.

Nursing Care

2502 N DODGE BLVD, SUITE 190
TUCSON, AZ 85716

Pima County (520) 323-1309

RICHARD WATCHMAN LPC

Counselor (Professional)

2502 N DODGE BLVD, SUITE 190
TUCSON, AZ 85716

Pima County (520) 617-0043

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pasadera Behavioral Health Network, Inc.'s NPI number?

The NPI number for Pasadera Behavioral Health Network, Inc. is 1457746497. It was assigned to this organization in the NPPES registry on April 6, 2015. The provider is doing business as Dodge Detoxification Center.

Where is Pasadera Behavioral Health Network, Inc. located?

Pasadera Behavioral Health Network, Inc. is located at 2502 N Dodge Blvd Suite 190, Tucson, AZ 85716. The listed phone number is (520) 618-8600.

What is Pasadera Behavioral Health Network, Inc.'s specialty?

The primary specialty registered for this NPI is Rehabilitation, Substance Use Disorder Unit with taxonomy code 276400000X.

When was this NPI record last updated?

The NPPES record for Pasadera Behavioral Health Network, Inc. was last updated on August 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.