Organization
HOPE INTERNATIONAL CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUDREY WARREN (OWNER)
(480) 826-3775
Entity
Organization
Contact information
Practice address
120 N ARIZONA BLVD STE 13, COOLIDGE, AZ 85128-4715
(520) 632-5636
Mailing address
120 N ARIZONA BLVD STE 13, COOLIDGE, AZ 85128-4715
(520) 632-5636
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
01/09/2023
Last updated
08/22/2024
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