Organization
PEOPLE OF COLOR NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MANUEL TOMAS LEON (CEO)
(602) 253-3084
Entity
Organization
Contact information
Practice address
4520 N CENTRAL AVE, SUITE 555 AND 565, PHOENIX, AZ 85012-1828
(602) 253-3084
(602) 265-3280
Mailing address
77 E THOMAS RD, SUITE 230, PHOENIX, AZ 85012-3115
(602) 253-3084
(602) 253-3732
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
BH3494
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
485908
—
AZ
Enumeration date
12/30/2009
Last updated
09/16/2011
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