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CENTRO DE AMISTAD INCORPORADO NPI 1073684791


NPI Information

NPI: 1073684791
Provider Name: CENTRO DE AMISTAD, INCORPORADO
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
460 N MESA DR STE 115
MESA, AZ
ZIP 85201
Phone: (480) 833-0227
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CENTRO DE AMISTAD, INCORPORADO is a community behavioral health in Mesa, 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. CENTRO DE AMISTAD, INCORPORADO NPI is 1073684791. The provider is registered as an organization entity type.

The provider's business location address is:

460 N MESA DR STE 115
MESA, AZ
ZIP 85201-974
Phone: (480) 833-0227
Fax: (480) 655-1382

The provider's authorized official is Rita Monroy .
The authorized official title is President And Ceo and has the following contact phone number (602) 393-3840.

The enumeration date for this NPI number is 11/13/2006 and was last updated on 3/8/2011.


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
1251S00000XCommunity/Behavioral HealthBH-2632ARIZONAYes

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
11062003OTHERARIZONAVO BILLING NUMBER
2BH-2632OTHERARIZONAAZ BH LICENSE NO
3A000173OTHERARIZONAMHS VENDOR NO.
4600252351OTHERARIZONAMAGELLAN MIS#
5116906OTHERARIZONAAHCCCS PROVIDER #
6BH-3610OTHERARIZONAAZ BH LINENCE #

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: 4/28/2024

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