Organization
CHICANOS POR LA CAUSA
Active
Parent organization
CHICANOS POR LA CAUSA, INC.
Other names
Parenting Arizona
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHICANOS POR LA CAUSA, INC.
Authorized official
MR. EDMUNDO HIDALGO (CEO)
(602) 257-0700
Entity
Organization
Contact information
Practice address
6741 N. 7TH ST., PHOENIX, AZ 85014
(602) 248-0428
(602) 248-0496
Mailing address
1112 E. BUCKEYE RD., PHOENIX, AZ 85034
(602) 257-0700
(602) 307-9752
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
BH-2612
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003072
—
AZ
Enumeration date
09/20/2006
Last updated
03/17/2011
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