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General NPI Number Information
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NPI Number | 1396315610
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Entity Type | Organization
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Legal Business Name | CANYON BEHAVIORAL HEALTH LLC DBA MONTARE BEHAVIORAL HEALTH
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Dates
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Enumeration Date | 06/29/2021
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Last Update Date | 05/30/2025
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Provider Practice Location Address
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Address Line | 750 E FOOTHILLS DR
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City | TUCSON
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State | AZ
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Zip | 85718-4747
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Country | US
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Telephone | 818-299-3602
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Fax |
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Provider Business Mailing Address
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Address Line | 750 E FOOTHILLS DR
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City | TUCSON
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State | AZ
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Zip | 85718-4747
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VP
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Name | JOANN ZUNIGA
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Credential |
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Telephone | 805-437-6515
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number |
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License Number State |
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