| Hope Lives - Vive La Esperanza | |
|
1016 E Buckeye Rd Suite 145 Phoenix AZ 85034-4041 | |
| (602) 672-2694 | |
| (602) 388-1567 |
| Full Name | Hope Lives - Vive La Esperanza |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1016 E Buckeye Rd, Phoenix, Arizona |
| Authorized Official Name and Position | Christopher Marc Gonzalez (CEO) |
| Authorized Official Contact | 6026722694 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope Lives - Vive La Esperanza 139 W 1st St Suite 101 Casa Grande AZ 85122-4449 Ph: (602) 672-2694 | Hope Lives - Vive La Esperanza 1016 E Buckeye Rd Suite 145 Phoenix AZ 85034-4041 Ph: (602) 672-2694 |
| NPI Number | 1851786222 |
|---|---|
| Provider Enumeration Date | 04/02/2015 |
| Last Update Date | 04/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851786222 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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