Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Intermountain Centers for Human Development Inc

Organization Mental Illness Community Based Residential Treatment Facility · NPI 1497135669

Intermountain Centers for Human Development Inc is a Mental Illness Community Based Residential Treatment Facility in Tucson, Arizona. Licensed in Arizona. Registered with an NPI since 2015.

Licensed in
AZ
In the registry since
2015
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2502 N Dodge Blvd Ste 190A
Tucson, AZ 85716-2671
Phone: (520) 618-8800
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Children's Substance Abuse Rehabilitation Facility (primary) Taxonomy 3245S0500X
Mental Illness Community Based Residential Treatment Facility Taxonomy 320800000X · Licence BH-4537 (AZ)

Record details

NPI number1497135669
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rose Lopez — President And Ceo · (520) 721-1887
Other names Summit Residential
NPI enumeratedJune 3, 2015
Last updated in NPPESDecember 19, 2023
Certification dateDecember 19, 2023
Mailing addressPo Box 86537, Tucson, AZ 85754-6537

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