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WOMEN'S TRANSITION PROJECT INC. NPI 1407928351


NPI Information

NPI: 1407928351
Provider Name: WOMEN'S TRANSITION PROJECT, INC.

Other Name: RENAISSANCE HOUSE

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
240 O'HARA AVENUE
BISBEE, AZ
ZIP 85603
Phone: (520) 432-1771
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WOMEN'S TRANSITION PROJECT, INC. is a substance abuse rehabilitation facility in Bisbee, AZ. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. WOMEN'S TRANSITION PROJECT, INC. NPI is 1407928351. The provider is registered as an organization entity type.
The provider Other Name Is Renaissance House.

The provider's business location address is:

240 O'HARA AVENUE
BISBEE, AZ
ZIP 85603
Phone: (520) 432-1771
Fax: (520) 432-4703

The provider's authorized official is Stephanie Oliver .
The authorized official title is Chief Quality Management Officer and has the following contact phone number (520) 628-3400.

The enumeration date for this NPI number is 11/15/2006 and was last updated on 8/13/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1324500000XSubstance Abuse Rehabilitation FacilityBH-2640ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1BH-2640OTHERARIZONASTATE LICENSE
2989634MEDICAIDARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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