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Organization

PINAL HISPANIC COUNCIL INCORPORATED

Active
Other names
PHC Phoenix
Organization subpart
No

Provider details

NPI number
Authorized official
ROSE M LOPEZ (PRESIDENT AND CEO)
(520) 721-1887
Entity
Organization

Contact information

Practice address
10220 N 31ST AVE STE 101, PHOENIX, AZ 85051-9562
(602) 863-1862
(602) 234-2639
Mailing address
PO BOX 86537, TUCSON, AZ 85754-6537
(520) 721-1887
(520) 721-0069

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OTC20504
ADHS
AZ
Enumeration date
05/06/2026
Last updated
05/06/2026
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