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
275 N GRAND COURT PLZ, NOGALES, AZ 85621-2744
(520) 466-7765
(520) 466-4475
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
BH3765
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
591324
—
AZ
01
—
OTC5856
ADHS/BMFL LICENSE
AZ
Enumeration date
11/19/2010
Last updated
10/27/2025
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