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NPI Code Detail

MEDICARE: SUMMIT BHC TUCSON LLC

MEDICARE: SUMMIT BHC TUCSON LLC
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
1261QM0850XAdult Mental Health Clinic/Center
2320800000XMental Illness Community Based Residential Treatment Facility
3324500000XSubstance Abuse Rehabilitation Facility
4261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center

General Provider Information

NPI Number : 1407363195
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUMMIT BHC TUCSON LLC
Provider Business Mailing Address
First Line : 501 CORPORATE CENTRE DR STE 600
Second Line :
City : FRANKLIN
State : TN
Zip : 37067-2784
Country : US
Telephone Number : 615-637-7128
Fax Number :
Provider Business Practice Location Address
First Line : 4210 W SWEETWATER DRIVE
Second Line :
City : TUCSON
State : AZ
Zip : 85745-9348
Country : US
Telephone Number : 877-463-3553
Fax Number :
Authorized Official
Title or Position : CHIEF LEGAL OFFICER
Name : PAUL GILBERT
Credential :
Telephone Number : 615-716-4924
Provider Enumeration Date : 01/04/2018
Last Update Date : 11/04/2025

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Directions to “SUMMIT BHC TUCSON LLC ” Practice Location

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