Organization
CHICANOS POR LA CAUSA, INC
Active
Other names
Centro Esperanza
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDRES CONTRERAS (EXECUTIVE VICE PRESIDENT)
(602) 254-4827
Entity
Organization
Contact information
Practice address
325 N STAPLEY DR, MESA, AZ 85203
(480) 615-3800
(480) 834-3536
Mailing address
1112 E BUCKEYE RD, PHOENIX, AZ 85034-4043
(602) 257-0700
(602) 256-2740
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
BH3365
AZ
251S00000X
Community/Behavioral Health Agency
Primary
OTC7328
AZ
Other
Enumeration date
10/01/2015
Last updated
06/23/2020
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