| Casa De Esperanza, Inc. | |
|
780 S Park Centre Ave Green Valley AZ 85614-5127 | |
| (520) 625-2273 | |
| Not Available |
| Full Name | Casa De Esperanza, Inc. |
|---|---|
| Speciality | Voluntary Or Charitable |
| Location | 780 S Park Centre Ave, Green Valley, Arizona |
| Authorized Official Name and Position | William T Mccreery (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5206252273 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Casa De Esperanza, Inc. 780 S Park Centre Ave Green Valley AZ 85614-5127 Ph: (520) 625-2273 | Casa De Esperanza, Inc. 780 S Park Centre Ave Green Valley AZ 85614-5127 Ph: (520) 625-2273 |
| NPI Number | 1124195284 |
|---|---|
| Provider Enumeration Date | 11/30/2006 |
| Last Update Date | 08/02/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124195284 | NPI | - | NPPES |
| 117037 | Medicaid | AZ | |
| 209545 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 251V00000X | Voluntary Or Charitable | AL0553D (Arizona) | Primary |
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