Organization
CHICANOS POR LA CAUSA INC
Active
Parent organization
CHICANOS POR LA CAUSA, INC.
Other names
Centro de la Familia
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHICANOS POR LA CAUSA, INC.
Authorized official
MR. ANDRES CONTRERAS (EXECUTIVE VICE PRESIDENT)
(602) 257-0700
Entity
Organization
Contact information
Practice address
6850 W INDIAN SCHOOL RD, PHOENIX, AZ 85033-3300
(232) 470-4646
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)
BH 1586
AZ
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
BH-1586
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112219
—
AZ
Enumeration date
10/26/2006
Last updated
08/14/2023
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