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AZ CENTER FOR CHANGE NPI 1609105642


NPI Information

NPI: 1609105642
Provider Name: AZ CENTER FOR CHANGE
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
4205 N 7TH AVE
311
PHOENIX, AZ
ZIP 85013
Phone: (602) 253-8488
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AZ CENTER FOR CHANGE 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. AZ CENTER FOR CHANGE NPI is 1609105642. The provider is registered as an organization entity type.

The provider's business location address is:

4205 N 7TH AVE
311
PHOENIX, AZ
ZIP 85013-078
Phone: (602) 253-8488
Fax: (602) 253-8340

The provider's authorized official is Diane Genco .
The authorized official title is Clinical Director/owner and has the following contact phone number (602) 253-8488.

The enumeration date for this NPI number is 12/22/2009 and was last updated on 12/22/2009.


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
1251S00000XCommunity/Behavioral HealthBH-3486ARIZONAYes

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

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