PEOPLE OF COLOR NETWORK NPI 1235373960

NPI Information

NPI: 1235373960
Provider Name: PEOPLE OF COLOR NETWORK
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
1300 N CENTRAL AVE
PHOENIX, AZ
ZIP 85004
Phone: (602) 251-0650
Get Directions

PEOPLE OF COLOR NETWORK is an adult mental health clinic center in Phoenix, AZ. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. PEOPLE OF COLOR NETWORK NPI is 1235373960. The provider is registered as an organization entity type.

The provider's business location address is:

1300 N CENTRAL AVE
PHOENIX, AZ
ZIP 85004-722
Phone: (602) 251-0650
Fax: (602) 251-0632

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

The enumeration date for this NPI number is 4/24/2009 and was last updated on 10/4/2011.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0850X	Clinic/Center	Adult Mental Health			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	444530	MEDICAID	ARIZONA

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

NPI Synchronization or Removal

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