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Organization
CHICANOS POR LA CAUSA, INC.
Active
Organization
CHICANOS POR LA CAUSA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PEDRO CONS (EXECUTIVE VICE PRESIDENT)
(602) 257-0700
Entity
Organization
Contact information
Practice address
6850 W INDIAN SCHOOL RD, PHOENIX, AZ 85033-3300
(623) 247-0464
Mailing address
1112 E BUCKEYE RD, PHOENIX, AZ 85034-4043
(602) 257-0700
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
NULL
171M00000X
Case Manager/Care Coordinator
—
—
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/19/2019
Last updated
09/19/2019
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