Organization
NOAHS ARK FAMILY CLINIC CORP
Active
Other names
Arizona Care Continuum
Organization subpart
No
Provider details
NPI number
Authorized official
DANNY NGUYEN PRESIDENT/CEO (PRESIDENT/CEO)
(480) 332-8832
Entity
Organization
Contact information
Practice address
6707 N 19TH AVE STE 105, PHOENIX, AZ 85015-1105
(480) 247-7691
(480) 919-7040
Mailing address
7800 N 55TH AVE STE 106&107, GLENDALE, AZ 85301-1321
(623) 931-5001
(623) 931-5120
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
2080P0006X
Developmental - Behavioral Pediatrics Physician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
337748
—
AZ
Enumeration date
02/07/2007
Last updated
12/10/2024
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