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NPI Code Detail

MEDICARE: VANGUARD BEHAVIORAL HEALTH

MEDICARE: VANGUARD BEHAVIORAL HEALTH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
2324500000XSubstance Abuse Rehabilitation Facility
3261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center

General Provider Information

NPI Number : 1417695149
Entity Type Code : Organization
Provider Name (Legal Business Name) : VANGUARD BEHAVIORAL HEALTH
Provider Business Mailing Address
First Line : 1815 W SAINT MARYS RD
Second Line :
City : TUCSON
State : AZ
Zip : 85745-2653
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1815 W SAINT MARYS RD
Second Line :
City : TUCSON
State : AZ
Zip : 85745-2653
Country : US
Telephone Number : 480-320-0752
Fax Number :
Authorized Official
Title or Position : CEO
Name : LAWRENCE BRIGGS
Credential :
Telephone Number : 480-320-0752
Provider Enumeration Date : 05/23/2022
Last Update Date : 05/31/2023

Similar Medicare Providers

1578953923 — MICHELLE R WELLS PMHNP-BC
Practice Location Address:
1815 W SAINT MARYS RD
TUCSON, AZ
85745-2653
Practice Phone: 866-425-1912
Practice Fax:
1609980499 — BERNARDO MENDOZA MD
Practice Location Address:
1815 W SAINT MARYS RD
TUCSON, AZ
85745-2653
Practice Phone: 520-834-4289
Practice Fax: 520-628-4863
1740472141 — JENNIFER CLARK PA-C
Practice Location Address:
1815 W SAINT MARYS RD
TUCSON, AZ
85745-2653
Practice Phone: 520-771-0363
Practice Fax:
1538426069 — DR. JOSEPH EDWARD SABAT MD, PHD
Practice Location Address:
1815 W SAINT MARYS RD
TUCSON, AZ
85745-2653
Practice Phone: 520-838-3540
Practice Fax:
1225650211 — DAVID JENSEN LCSW
Practice Location Address:
1815 W SAINT MARYS RD
TUCSON, AZ
85745-2653
Practice Phone: 480-390-5391
Practice Fax:
1811004435 — SCOTT STEVEN BERMAN MD
Practice Location Address:
1815 W ST MARYS RD
TUSCON, AZ
85745-2653
Practice Phone: 520-628-1400
Practice Fax: 520-628-4863

Directions to “VANGUARD BEHAVIORAL HEALTH ” Practice Location

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