Organization
PEOPLE OF COLOR NETWORK
Active
Organization
PEOPLE OF COLOR NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANUEL TOMAS LEON (CEO)
(602) 253-3084
Entity
Organization
Contact information
Practice address
310 S EXTENSION RD, MESA, AZ 85210-1292
(480) 615-3800
(480) 615-3861
Mailing address
77 E THOMAS RD STE 230, PHOENIX, AZ 85012-3100
(602) 253-3084
(602) 253-3732
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432084
—
AZ
Enumeration date
04/24/2009
Last updated
09/16/2011
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