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Organization
INTEGRO HEALTH SYSTEMS, INC.
Active
Organization
INTEGRO HEALTH SYSTEMS, INC.
Active
Other names
Integro Behavioral Facility
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCO VALERIO CANULLA MD (FOUNDER AND CHAIRMAN)
(602) 571-6521
Entity
Organization
Contact information
Practice address
1501 E ORANGEWOOD AVE BLDG C, PHOENIX, AZ 85020-5130
(602) 535-8200
(602) 457-2517
Mailing address
1501 E ORANGEWOOD AVE, PHOENIX, AZ 85020-5130
(602) 535-8200
(602) 457-2517
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
283Q00000X
Psychiatric Hospital
—
—
Other
Enumeration date
10/19/2018
Last updated
12/28/2018
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