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AZ Juvenile Group Homes Registry Facility Report (as of January 5, 2005)


This report is published by the ADHS Division of Licensing Services. For assistance, contact Behavioral Health Licensing, Phone (602) 364-2595; Fax (602) 364-4801.
FACILITY ID: BH1575
   Name: SUPPORTED LIVING SYSTEMS INC/ PIMA HOUSE
   Address: 3327 EAST BROADWAY BOULEVARD, TUCSON 85716
   Phone: (520) 318-0270
   Fax: (520) 318-0056
   # of Beds: 6
OPERATOR/ADMINISTRATOR:
   Name: SUPPORTED LIVING SYSTEMS
   Contact: GRABILL, JAMES
   Address: 925 SOUTH CRAYCROFT, TUCSON 85711
   Phone: (520) 318-0270
   Fax: (520) 318-0056
   Email:
   FACILITY INFO UPDATED 05-Jan-05 BY ERNESTINA GONZALES (602) 364-2600
LICENSE INFORMATION:
   Agency: AZ DEPT HEALTH SVCS/ADHS OBHL LICENSURE
   Renewal: 30-Apr-05
   Contact: ERNESTINA GONZALES
   Phone: (602) 364-2600
   Fax: (602) 364-4801
   Email: GONZALA@HS.STATE.AZ.US
   LICENSING INFO UPDATED 05-Jan-05 BY ERNESTINA GONZALES (602) 364-2600
NOTE:  Registry data is published on the web twice yearly (April and October).  For more recent information about a particular facility, please contact the Licensing agency at the contact numbers provided above. 

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