In Balance Adolescent Transitional Living, Inc

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

Legal business name

IN BALANCE ADOLESCENT TRANSITIONAL LIVING, INC

Practice address

2601 N Campbell Ave Ste 205
Tucson, AZ 85719-3167

Phone

(520) 722-9631

NPI assigned

Jul 31, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sharon Reynolds

Title

Exec Admin Director

Phone

(207) 505-0143

Specialties & licenses 3

Addresses

Tax ID family

In Balance Adolescent Transitional Living Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• In Balance Adolescent Transitional Living, Inc

  • Addiction (Substance Use Disorder) Counselor
  • Tucson, AZ
  • NPI 1538840574
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690761600000",
    "number": "1003597055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6107 E GRANT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857125828",
            "telephone_number": "520-722-9631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 N CAMPBELL AVE STE 205",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857193167",
            "telephone_number": "520-722-9631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN BALANCE ADOLESCENT TRANSITIONAL LIVING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-31",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-28",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "EXEC ADMIN DIRECTOR",
        "authorized_official_telephone_number": "207-505-0143"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Immune Recovery and Wellness PC
• Impact Medical Group
• Marissa R Imperial
• Comfort Impraim, FNP-C
• Imran Ata MD PLLC
• In Balance Adolescent Transitional Living, Inc
• In Balance Adolescent Transitional Living, Inc
• In Balance Collegiate Recovery, Inc.
• In Balance Collegiate Recovery, Inc.
• In Balance Counseling Inc

• All providers in Tucson, AZ
• Comprehensive Outpatient Rehabilitation Facility (CORF) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.