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

Grace Basonga

Individual provider Mental Illness Community Based Residential Treatment Facility · NPI 1639059256

Grace Basonga is a Mental Illness Community Based Residential Treatment Facility in Tucson, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2025
Specialties on file
2

Practice location Address checks out

6593 W Cedar Branch Way
Tucson, AZ 85757-1514
Phone: (520) 312-2289
Show map & directions

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

Specialties & licences

Respite Care (primary) Taxonomy 385H00000X · Licence ADBH20002 (AZ)
Mental Illness Community Based Residential Treatment Facility Taxonomy 320800000X · Licence ADBH20002 (AZ)

Record details

NPI number1639059256
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 4, 2025
Last updated in NPPESOctober 24, 2025
Certification dateSeptember 4, 2025
Mailing address4000 N Central Ave Ste 100, Phoenix, AZ 85012-3520

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