Centro De Amistad, Incorprorado in Phoenix - Community/behavioral Health
Centro De Amistad, Incorprorado - NPI 1497826101
Centro De Amistad, Incorprorado is a Community/behavioral Health in Phoenix, Arizona. Centro De Amistad, Incorprorado practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Centro De Amistad, Incorprorado is 1497826101. The last update date is 2011-03-08.
Centro De Amistad, Incorprorado's current location address is 2923 N 33rd Ave, Phoenix, Arizona. You can contact this provider via phone number 6023933840 and fax number 6023933842. The mailing address for Centro De Amistad, Incorprorado is 2923 N 33rd Ave, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Centro De Amistad, Incorprorado |
|---|---|
| Address | 2923 N 33rd Ave, Phoenix, Arizona |
| Phone Number | 6023933840 |
| Fax Number | 6023933842 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Monroy Rita |
| Telephone Number | 6023933840 |
NPI Number Detail
| NPI Number | 1497826101 |
|---|---|
| Provider Enumeration Date | 2006-11-13 |
| Last Updated Date | 2011-03-08 |
Provider Mailing Address Detail
| Address | 2923 N 33rd Ave |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850175201 |
| Phone Number | 6023933840 |
| Fax Number | 6023933842 |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
| Licence No | BH-187 |
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Definition: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 125826 | AZ | AHCCCS - GRP BILLER | |
| 105842 | AZ | AHCCCS PROVIDER # | |
| A000171 | AZ | MHS VENDOR NO. | |
| BH-187 | AZ | AZ BH LICENSE # | |
| 1062002 | AZ | VALUEOPTIONS BILLING # |
Post Comment/ Review Below
What is the unique identifier code issued to Centro De Amistad, Incorprorado by the Centers for Medicare & Medicaid Services?
The Centro De Amistad, Incorprorado has been assigned the NPI (National Provider Identifier) 1497826101. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Centro De Amistad, Incorprorado's facilities are geographically located?
The facilities of Centro De Amistad, Incorprorado are physically situated at the following location: 2923 N 33Rd Ave, Phoenix, AZ, 850175201.
What is Centro De Amistad, Incorprorado's specialized field of practice, and what is the corresponding taxonomy classification code?
The Centro De Amistad, Incorprorado's area of specialization is Community/behavioral Health, and the corresponding taxonomy code that categorizes this field of practice is 251S00000X.
On what date did the Centro De Amistad, Incorprorado receive its 1497826101 assignment from the Centers for Medicare & Medicaid Services?
The Centro De Amistad, Incorprorado was assigned its 1497826101 by the Centers for Medicare & Medicaid Services on 2006-11-13.
When was the information related to Centro De Amistad, Incorprorado most recently updated or refreshed?
The details pertaining to the Centro De Amistad, Incorprorado, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-03-08.