03D2111919 CLIA NUMBER - CACTUS INTEGRATED CARE

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Laboratory Demographics

CLIA Number: 03D2111919

Facility Name: CACTUS INTEGRATED CARE

Facility Address:
1520 E PIMA ST
PHOENIX, AZ
ZIP 85034
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Facility Phone Number: (480) 831-7566

Facility Type: OTHER

Certificate Type: Waiver

NPI Number: 1821583741

Taxonomy: 251S00000X - Community/Behavioral Health
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.

CLIA Record

Field Name	Field Value
CLIA Number	03D2111919
LAB Type	OTHER
Facility Name	CACTUS INTEGRATED CARE
Street	1520 E PIMA ST
City	PHOENIX
State	AZ
ZIP	85034
Phone	(480) 831-7566

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This page was last updated on: 5/11/2023