Organization · Type 2 NPI

Chicanos Por la Causa, Inc.

Mental Illness Community Based Residential Treatment Facility · Phoenix, AZ

NPI number 1083711360 Active

Practice location

3639 W. Lincoln St.
Phoenix, AZ 85009

Call (602) 233-9747 Map

Fax (602) 352-5989

Mailing address

1112 E. Buckeye Rd.
Phoenix, AZ 85034

Specialties and licenses

Taxonomy	Code	License
Mental Illness Community Based Residential Treatment Facility Primary	320800000X	BH-0008 (AZ)

Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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NPI record

NPI: 1083711360
Entity type: Organization (Type 2)
Issued: Sep 20, 2006
Last updated: Jun 23, 2020
Status: Active
Subpart: Yes of Chicanos Por la Causa Inc.

Other names

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Corazon · other name
Corazon · other name

Authorized official

Mr. Andres Contreras
Executive Vice President Officer
(602) 257-0700

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1083711360

Chicanos Por la Causa, Inc.'s National Provider Identifier is 1083711360, issued on Sep 20, 2006. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Phoenix, AZ. The record was last updated on Jun 23, 2020.