# CHICANOS POR LA CAUSA, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386294437
- **Authorized official:** PEDRO CONS (EXECUTIVE VICE PRESIDENT)
- **Authorized official phone:** (602) 257-0700

## Contact information

- **Practice address:** 6850 W INDIAN SCHOOL RD, PHOENIX, AZ 85033-3300
- **Practice address phone:** (623) 247-0464
- **Mailing address:** 1112 E BUCKEYE RD, PHOENIX, AZ 85034-4043
- **Mailing address phone:** (602) 257-0700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 09/19/2019
- **Last updated:** 09/19/2019
