Organization · Type 2 NPI

Integro Health Systems, Inc.

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

NPI number 1972079747 Active

Practice location

1501 E Orangewood Ave Bldg C
Phoenix, AZ 85020-5130

Call (602) 535-8200 Map

Fax (602) 457-2517

Mailing address

1501 E Orangewood Ave
Phoenix, AZ 85020-5130

Specialties and licenses

Taxonomy	Code	License
Mental Health Clinic/Center (Including Community Mental Health Center) Primary	261QM0801X	None listed
Psychiatric Hospital	283Q00000X	None listed

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NPI record

NPI: 1972079747
Entity type: Organization (Type 2)
Issued: Oct 19, 2018
Last updated: Dec 28, 2018
Status: Active

Other names

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Integro Behavioral Facility · doing business as
Integro Behavioral Facility · doing business as

Authorized official

Dr. Marco Valerio Canulla, MD
Founder and Chairman
(602) 571-6521

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 1972079747

Integro Health Systems, Inc.'s National Provider Identifier is 1972079747, issued on Oct 19, 2018. 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 Dec 28, 2018.