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Organization
ARIZONA COMMUNITY OUTREACH
Active
Organization
ARIZONA COMMUNITY OUTREACH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MELISSA ANN TELLEZ (OWNER)
(602) 313-9448
Entity
Organization
Contact information
Practice address
6025 NORTH 27TH AVE. STE 1, PHOENIX, AZ 85017-1764
(602) 313-9448
Mailing address
6025 NORTH 27TH AVE. STE 1, PHOENIX, AZ 85017-1764
(602) 313-9448
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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