Tenacity Integrated Behavioral Healthcare, PLLC

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

Legal business name

TENACITY INTEGRATED BEHAVIORAL HEALTHCARE, PLLC

Practice address

1075 W Avalon Canyon Dr
Casa Grande, AZ 85122-6706

Phone

(623) 565-2668

Fax

(520) 635-5510

NPI assigned

Jul 20, 2020

Organization subpart

No

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

Authorized official

Name

Bose Grace Anifowose, NP

Title

NP

Phone

(623) 565-2668

Specialties & licenses 3

Addresses

Other names 1

• Tenacity Integrated Behavioral Healthcare Doing business as

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675123200000",
    "number": "1962010595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 W AVALON CANYON DR",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851226706",
            "telephone_number": "623-565-2668",
            "fax_number": "520-635-5510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 W AVALON CANYON DR",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851226706",
            "telephone_number": "623-565-2668",
            "fax_number": "520-635-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENACITY INTEGRATED BEHAVIORAL HEALTHCARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-20",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A",
        "authorized_official_last_name": "ANIFOWOSE",
        "authorized_official_first_name": "BOSE",
        "authorized_official_middle_name": "GRACE",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "623-565-2668",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tenacity Integrated Behavioral Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Psychiatric Residential Treatment Facility in Casa Grande, AZ
• Providers in Casa Grande, AZ by specialty
• Psychiatric Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 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.