People Of Color Network | |
77 E.thomas Road Suite 230 Phoenix AZ 85012-3100 | |
(602) 253-3084 | |
(602) 253-3732 |
Full Name | People Of Color Network |
---|---|
Speciality | Clinic/center - Adolescent And Children Mental Health |
Location | 77 E.thomas Road, Phoenix, Arizona |
Authorized Official Name and Position | Manuel Tomas Leon (CHIEF EXECUTIVE OFFICER) |
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 East Thomas Road Suite 230 Phoenix AZ 85012-3100 Ph: (602) 253-3084 | People Of Color Network 77 E.thomas Road Suite 230 Phoenix AZ 85012-3100 Ph: (602) 253-3084 |
NPI Number | 1194706986 |
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Provider Enumeration Date | 11/08/2005 |
Last Update Date | 10/04/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194706986 | NPI | - | NPPES |
703547 | Other | AZ | AHCCCS PROVIDER NUMBER |
BH2828 | Other | AZ | ARIZONA BEHAVIORAL HEALTH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0855X | Clinic/center - Adolescent And Children Mental Health | BH-2585 (Arizona) | Primary |
Amra Stafford, Psyd, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 67 E Weldon Ave, Suite 320, Phoenix, AZ 85012 Phone: 602-456-7565 Fax: 602-266-0234 | |
Pro Iom Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3329 E Bell Rd Ste A2-a5, Phoenix, AZ 85032 Phone: 602-482-2282 | |
Liberty Care Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8111 N 19th Ave Apt 2038, Phoenix, AZ 85021 Phone: 602-367-7916 | |
Insight-therapy Az Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4545 E Shea Blvd Ste 235, Phoenix, AZ 85028 Phone: 602-315-4068 Fax: 602-675-2705 | |
White Tiger Integrated Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 67 E Weldon Ave Ste 220, Phoenix, AZ 85012 Phone: 603-637-7361 | |
Eden Recovery Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2538 E University Dr Ste 180, Phoenix, AZ 85034 Phone: 480-390-3375 | |
Native Country Healthcare Systems Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4805 W Thomas Rd, Phoenix, AZ 85031 Phone: 602-706-8741 |