CHICANOS POR LA CAUSA INC. NPI 1083711360

NPI Information

CHICANOS POR LA CAUSA, INC. is a community based residential treatment facility mental illness in Phoenix, AZ. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. CHICANOS POR LA CAUSA, INC. NPI is 1083711360. The provider is registered as an organization entity type.
The provider Other Name Is Corazon.

The provider's business location address is:

3639 W. LINCOLN ST.
PHOENIX, AZ
ZIP 85009
Phone: (602) 233-9747
Fax: (602) 352-5989

The provider's authorized official is Andres Contreras .
The authorized official title is Executive Vice President Officer and has the following contact phone number (602) 257-0700.

The CLIA number assigned to this NPI record is 03D1038553 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 6/23/2020.

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:

Other Identifiers

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