Organization
VISIONS OF HOPE ARIZONA INC
Active
Organization
VISIONS OF HOPE ARIZONA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES MICHAEL RUSSO MA, M.P.H. (CHIEF EXECUTIVE OFFICER)
(602) 404-1555
Entity
Organization
Contact information
Practice address
601 W HATCHER RD, SUITE 202, PHOENIX, AZ 85021-3594
(602) 404-1555
(602) 867-2435
Mailing address
601 W HATCHER RD, SUITE 202, PHOENIX, AZ 85021-3594
(602) 404-1555
(602) 867-2435
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
BH3998
AZ
251S00000X
Community/Behavioral Health Agency
Primary
AZAHCCCS767709
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
767709
AHCCCS
AZ
Enumeration date
12/13/2006
Last updated
05/15/2012
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