# CHICANOS POR LA CAUSA, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Keogh Health Connection
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942055926
- **Authorized official:** ANDRES L. CONTRERAS (EXECUTIVE VICE PRESIDENT)
- **Authorized official phone:** (602) 282-8501

## Contact information

- **Practice address:** 3620 N 4TH AVE STE 2, PHOENIX, AZ 85013-3907
- **Practice address phone:** (602) 359-2511
- **Mailing address:** 3620 N 4TH AVE STE 2, PHOENIX, AZ 85013-3907
- **Mailing address phone:** (602) 359-2511

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/22/2024
- **Last updated:** 04/22/2024