institution
Chicanos Por La Causa, Inc.
Mental Illness Community Based Residential Treatment Facility in Phoenix, Arizona
NPI 1083711360

Chicanos Por La Causa, Inc. is a Mental Illness Community Based Residential Treatment Facility based in Phoenix, AZ. Chicanos Por La Causa, Inc. practices in Phoenix, AZ. The NPI Number for Chicanos Por La Causa, Inc. is 1083711360 and holds a License No. BH-0008 (Arizona).

The current practice location address for Chicanos Por La Causa, Inc. is 3639 W. Lincoln St., Phoenix, AZ and can be reached out via phone at 602-233-9747 and via fax at 602-352-5989. You can also correspond with Chicanos Por La Causa, Inc. through the mailing address at 1112 E. BUCKEYE RD., PHOENIX, AZ - 85034 (mailing address contact number: 602-257-0700).

Location: 3639 W. Lincoln St., Phoenix, AZ, 85034
institution
Provider Profile Details
NPI Number
1083711360
Provider Name
Chicanos Por La Causa, Inc.
Credential
Provider Entity Type
Organization
Address
3639 W. Lincoln St., Phoenix, AZ, 85034
Phone Number
602-233-9747
Fax Number
602-352-5989
Provider Enumeration Date
09/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
BH-0008 01 AZ LICENSE
590978 05 AZ
institution
Provider Business Practice Location Address Details
Address
3639 W. Lincoln St.
City
State
Zip
85009
Phone Number
602-233-9747
Fax Number
602-352-5989
person
Provider Business Mailing Address Details
Address
3639 W. Lincoln St.
City
State
Zip
85009
Phone Number
602-233-9747
Fax Number
602-352-5989
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
License No.
BH-0008 (Arizona)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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