Organization
INTEGRO HEALTH SYSTEMS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCO VALERIO CANULLA MD (CEO)
(602) 571-6521
Entity
Organization
Contact information
Practice address
1501 E ORANGEWOOD AVE BLDG A, PHOENIX, AZ 85020-5130
(602) 535-8200
(602) 457-2517
Mailing address
1501 E ORANGEWOOD AVE, PHOENIX, AZ 85020-5130
(602) 535-8200
(602) 457-2517
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
283Q00000X
Psychiatric Hospital
—
—
Other
Enumeration date
04/13/2017
Last updated
12/28/2018
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