| Az Center For Change | |
|
4205 N 7th Ave 311 Phoenix AZ 85013-3078 | |
| (602) 253-8488 | |
| (602) 253-8340 |
| Full Name | Az Center For Change |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4205 N 7th Ave, Phoenix, Arizona |
| Authorized Official Name and Position | Diane Genco (CLINICAL DIRECTOR/OWNER) |
| Authorized Official Contact | 6022538488 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Az Center For Change 4205 N 7th Ave 311 Phoenix AZ 85013-3078 Ph: (602) 253-8488 | Az Center For Change 4205 N 7th Ave 311 Phoenix AZ 85013-3078 Ph: (602) 253-8488 |
| NPI Number | 1609105642 |
|---|---|
| Provider Enumeration Date | 12/22/2009 |
| Last Update Date | 09/18/2024 |
| Certification Date | 09/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609105642 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | BH-3486 (Arizona) | Primary |
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