Organization
CHICANOS POR LA CAUSA, INC.
Active
Other names
Keogh Health Connection
Organization subpart
No
Provider details
NPI number
Authorized official
ANDRES L. CONTRERAS (EXECUTIVE VICE PRESIDENT)
(602) 282-8501
Entity
Organization
Contact information
Practice address
3620 N 4TH AVE STE 2, PHOENIX, AZ 85013-3907
(602) 359-2511
Mailing address
3620 N 4TH AVE STE 2, PHOENIX, AZ 85013-3907
(602) 359-2511
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/22/2024
Last updated
04/22/2024
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