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Centro De Amistad, Incorprorado
Community/Behavioral Health Agency in Guadalupe, Arizona
NPI 1497826101

Centro De Amistad, Incorprorado is a Community/Behavioral Health Agency based in Phoenix, AZ. Centro De Amistad, Incorprorado practices in Guadalupe, AZ. The NPI Number for Centro De Amistad, Incorprorado is 1497826101 and holds a License No. BH-187 (Arizona).

The current practice location address for Centro De Amistad, Incorprorado is 8202 S Avenida Del Yaqui, Guadalupe, AZ and can be reached out via phone at 480-839-2926 and via fax at 480-839-9985.

Location: 8202 S Avenida Del Yaqui, Guadalupe, AZ, 85017-5201
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1497826101
Provider Name
Centro De Amistad, Incorprorado
Credential
Provider Entity Type
Organization
Address
8202 S Avenida Del Yaqui, Guadalupe, AZ, 85017-5201
Phone Number
480-839-2926
Fax Number
480-839-9985
Provider Enumeration Date
11/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
125826 01 AZ AHCCCS - GRP BILLER
105842 01 AZ AHCCCS PROVIDER #
A000171 01 AZ MHS VENDOR NO.
BH-187 01 AZ AZ BH LICENSE #
1062002 01 AZ VALUEOPTIONS BILLING #
institution
Provider Business Practice Location Address Details
Address
8202 S Avenida Del Yaqui
City
Guadalupe
State
Arizona
Zip
85283-1024
Phone Number
480-839-2926
Fax Number
480-839-9985
person
Provider Business Mailing Address Details
Address
8202 S Avenida Del Yaqui
City
Guadalupe
State
Arizona
Zip
85283-1024
Phone Number
480-839-2926
Fax Number
480-839-9985
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
BH-187 (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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