Organization · Type 2 NPI

Friendship Community Mental Health Center, Inc.

Mental Health Clinic/Center (Including Community Mental Health Center) · Phoenix, AZ

NPI number 1104825702 Active

Practice location

1107 Tonto St
Phoenix, AZ 85034

Call (602) 241-6656 Map

Fax (602) 241-7506

Mailing address

1107 E Tonto St
Phoenix, AZ 85034-4032

Specialties and licenses

Taxonomy	Code	License
Mental Health Clinic/Center (Including Community Mental Health Center)	261QM0801X	BH2465 (AZ)
Mental Health Clinic/Center (Including Community Mental Health Center) Primary	261QM0801X	OTC7814 (AZ)

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NPI record

NPI: 1104825702
Entity type: Organization (Type 2)
Issued: Jul 18, 2005
Last updated: Oct 17, 2016
Status: Active
Subpart: Yes of Chicanos Por la Causa, Inc.

Other names

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People of Color Network Inc (in Error) · former legal business name

Authorized official

Guillermo Velez, MSW, LCSW
President
(623) 247-0464

Verify this record

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 1104825702

Friendship Community Mental Health Center, Inc.'s National Provider Identifier is 1104825702, issued on Jul 18, 2005. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Phoenix, AZ. The record was last updated on Oct 17, 2016.