Healthcare Provider Details

I. General information

NPI: 1396315610
Provider Name (Legal Business Name): CANYON BEHAVIORAL HEALTH LLC DBA MONTARE BEHAVIORAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2021
Last Update Date: 05/30/2025
Certification Date: 05/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750 E FOOTHILLS DR
TUCSON AZ
85718-4747
US

IV. Provider business mailing address

750 E FOOTHILLS DR
TUCSON AZ
85718-4747
US

V. Phone/Fax

Practice location:
  • Phone: 818-299-3602
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code283Q00000X
TaxonomyPsychiatric Hospital
License Number
License Number State

VIII. Authorized Official

Name: JOANN ZUNIGA
Title or Position: VP
Credential:
Phone: 805-437-6515