institution
Centro De Amistad, Incorporado
Community/Behavioral Health Agency in Mesa, Arizona
NPI 1073684791

Centro De Amistad, Incorporado is a Community/Behavioral Health Agency based in Phoenix, AZ. Centro De Amistad, Incorporado practices in Mesa, AZ. The NPI Number for Centro De Amistad, Incorporado is 1073684791 and holds a License No. BH-2632 (Arizona).

The current practice location address for Centro De Amistad, Incorporado is 460 N Mesa Dr Ste 115, Mesa, AZ and can be reached out via phone at 480-833-0227 and via fax at 480-655-1382. You can also correspond with Centro De Amistad, Incorporado through the mailing address at 2923 N 33RD AVE, PHOENIX, AZ - 85017-5201 (mailing address contact number: 602-393-3840).

Location: 460 N Mesa Dr Ste 115, Mesa, AZ, 85017-5201
institution
Provider Profile Details
NPI Number
1073684791
Provider Name
Centro De Amistad, Incorporado
Credential
Provider Entity Type
Organization
Address
460 N Mesa Dr Ste 115, Mesa, AZ, 85017-5201
Phone Number
480-833-0227
Fax Number
480-655-1382
Provider Enumeration Date
11/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1062003 01 AZ VO BILLING NUMBER
116906 01 AZ AHCCCS PROVIDER #
A000173 01 AZ MHS VENDOR NO.
BH-2632 01 AZ AZ BH LICENSE NO
600252351 01 AZ MAGELLAN MIS#
BH-3610 01 AZ AZ BH LINENCE #
institution
Provider Business Practice Location Address Details
Address
460 N Mesa Dr Ste 115
City
State
Zip
85201-5974
Phone Number
480-833-0227
Fax Number
480-655-1382
person
Provider Business Mailing Address Details
Address
460 N Mesa Dr Ste 115
City
State
Zip
85201-5974
Phone Number
480-833-0227
Fax Number
480-655-1382
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
License No.
BH-2632 (Arizona)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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