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PEOPLE OF COLOR NETWORK NPI 1396075156


NPI Information

NPI: 1396075156
Provider Name: PEOPLE OF COLOR NETWORK
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
4520 N CENTRAL AVE
SUITE 555 AND 565
PHOENIX, AZ
ZIP 85012
Phone: (602) 253-3084
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PEOPLE OF COLOR NETWORK is a community behavioral health in Phoenix, AZ. The provider is 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 disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. PEOPLE OF COLOR NETWORK NPI is 1396075156. The provider is registered as an organization entity type.

The provider's business location address is:

4520 N CENTRAL AVE
SUITE 555 AND 565
PHOENIX, AZ
ZIP 85012-828
Phone: (602) 253-3084
Fax: (602) 265-3280

The provider's authorized official is Manuel Tomas Leon .
The authorized official title is Ceo and has the following contact phone number (602) 253-3084.

The enumeration date for this NPI number is 12/30/2009 and was last updated on 9/16/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251B00000XCase ManagementNo
2251S00000XCommunity/Behavioral HealthBH3494ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1485908MEDICAIDARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.