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Organization
CHICANOS POR LA CAUSA, INC.
Active
Organization
CHICANOS POR LA CAUSA, INC.
Active
Other names
Keogh Health Connection
Organization subpart
No
Provider details
NPI number
Authorized official
ANDRES L. CONTRERAS (EXECUTIVE VICE PRESIDENT)
(602) 282-8501
Entity
Organization
Contact information
Practice address
3620 N 4TH AVE STE 2, PHOENIX, AZ 85013-3907
(602) 359-2511
Mailing address
3620 N 4TH AVE STE 2, PHOENIX, AZ 85013-3907
(602) 359-2511
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
04/22/2024
Last updated
04/22/2024
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