Organization
PINAL HISPANIC COUNCIL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSE M LOPEZ MBA (PRESIDENT AND CEO)
(520) 721-1887
Entity
Organization
Contact information
Practice address
1930 E 11TH ST, DOUGLAS, AZ 85607-2413
(520) 364-4508
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
OTC6246
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
915838
—
AZ
01
—
OTC6246
ARIZONA DEPARTMENT OF HEALTH SERVICES
AZ
Enumeration date
03/20/2014
Last updated
10/27/2025
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