Organization
PEOPLE OF COLOR NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN ROMERO (CEO)
(602) 253-3084
Entity
Organization
Contact information
Practice address
609 N 2ND AVE, PHOENIX, AZ 85003-1653
(602) 253-3084
(602) 253-3732
Mailing address
609 N 2ND AVE, PHOENIX, AZ 85003-1653
(602) 253-3084
(602) 253-3732
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
BH2585
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
703547
AHCCCS PROVIDE NUMBER
AZ
01
—
960882
AHCCCS GROUP BILLER
AZ
Enumeration date
07/03/2006
Last updated
08/22/2020
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