Organization
CI, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA JENKINS-SIMON (CEO)
(602) 495-1432
Entity
Organization
Contact information
Practice address
1117 N 3RD ST, PHOENIX, AZ 85004-1811
(602) 495-1432
(602) 495-1435
Mailing address
1117 N 3RD ST, PHOENIX, AZ 85004-1811
(602) 495-1432
(602) 495-1435
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
BH-2445
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
528862
—
AZ
Enumeration date
01/18/2007
Last updated
08/22/2020
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