People Of Color Network | |
310 S Extension Rd Mesa AZ 85210-1292 | |
(480) 615-3800 | |
(480) 615-3861 |
Full Name | People Of Color Network |
---|---|
Speciality | Clinic/center - Adult Mental Health |
Location | 310 S Extension Rd, Mesa, Arizona |
Authorized Official Name and Position | Manuel Tomas Leon (CEO) |
Authorized Official Contact | 6022533084 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
People Of Color Network 77 E Thomas Rd Ste 230 Phoenix AZ 85012-3100 Ph: (602) 253-3084 | People Of Color Network 310 S Extension Rd Mesa AZ 85210-1292 Ph: (480) 615-3800 |
NPI Number | 1518101237 |
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Provider Enumeration Date | 04/24/2009 |
Last Update Date | 09/16/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518101237 | NPI | - | NPPES |
432084 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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