Organization
ARIZONA HEALTH CARE CONTRACT MANAGEMENT SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY PATRICIA RODENBERG-ROBERTS (VP & SR ASST GENERAL COUNSEL)
(952) 836-2234
Entity
Organization
Contact information
Practice address
3838 N CENTRAL AVE STE 1200, PHOENIX, AZ 85012-1997
(480) 646-6175
(617) 790-4271
Mailing address
3838 N CENTRAL AVE STE 1200, PHOENIX, AZ 85012-1997
(480) 646-6175
(617) 790-4271
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
BH1530
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116724
—
AZ
Enumeration date
11/30/2006
Last updated
08/21/2025
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